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Individual

DR. ROBERT G RYAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
1225 E 1ST ST, DULUTH, MN 55805-2402
(218) 728-6445
(218) 724-7003
Mailing address
1225 E 1ST ST, DULUTH, MN 55805-2402
(218) 728-6445
(218) 724-7003

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7466
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
410737
UNITED CONCORDIA
MN
01
41592RY
BCBSMN
MN
01
904481008107
PREFERRED ONE
MN
01
HP37192
HEALTH PARTNERS
MN
Enumeration date
11/01/2006
Last updated
10/30/2007
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