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DR. RYAN GREENE M.D.

Physicians Pediatrics Pediatric Cardiology

Provider NPI: 1649723511

Provider Information:
DR. RYAN  GREENE M.D.
Gender: M
Not Sole Proprietor

Practice Location:
2450 RIVERSIDE AVE BLDG M663  MINNEAPOLIS, MN 55454-1450 US
Tel: 612-626-2958  Fax: 612-624-8782

Business Mailing Address:
2450 RIVERSIDE AVE BLDG M663  MINNEAPOLIS, MN 55454-1450 US
Tel: 612-626-2958  Fax: 612-624-8782

NPI Information:
NPI: 1649723511
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y2080P0202XPhysicians
Pediatrics
Pediatric Cardiology
MI4301110847

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 2080P0202X

Type:

Classification:



Definition:



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