Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 66438 | MN |
Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 66438 | MN |
NPI | 1235524968 |
---|---|
Provider Name | Dr. Sean Ryan |
First Address | Rochester, MN 55905-0001 |
Second Address | Rochester, MN 55905-4699 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/03/2015 |
Last Update Date | 27/10/2021 |