Individual
DR. RYAN SCOTT CLOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3201 JOHNSON ST NE, MINNEAPOLIS, MN 55418-2275
(612) 781-6568
Mailing address
3225 PECKS WOODS TURN, NEW BRIGHTON, MN 55112-8428
(612) 220-6131
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D11801
MN
Other
Enumeration date
11/16/2006
Last updated
07/08/2007
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