Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 35.093711 | OH |
N | 208600000X | Surgeon | 35.093711 | OH |
N | 208200000X | Surgeon | 49514 | MN |
N | 208600000X | Surgeon | 49514 | MN |
N | 2086S0102X | Surgical Critical Care | 35.093711 | OH |
N | 2086S0102X | Surgical Critical Care | 49514 | MN |
N | 2086S0127X | Trauma Surgeon | 35.093711 | OH |
Y | 2086S0127X | Trauma Surgeon | 49514 | MN |
NPI | 1134307390 |
---|---|
Provider Name | Dr. Ryan Michael Fey |
First Address | Minneapolis, MN 55415-1623 |
Second Address | Minneapolis, MN 55415-1623 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/02/2008 |
Last Update Date | 14/09/2011 |