Individual
DR. SCOTT RYAN MAANUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
20600 FIREWOOD TRL, PARK RAPIDS, MN 56470-6242
(218) 292-9545
(218) 255-8786
Mailing address
20600 FIREWOOD TRL, PARK RAPIDS, MN 56470-6242
(218) 292-9545
(218) 255-8786
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
38086
IA
207Q00000X
Family Medicine Physician
Primary
52825
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1992901086
—
MN
Enumeration date
06/25/2007
Last updated
04/24/2024
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