Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RE0101X | Endocrinologist (Diabetes Doctor) | 241267 | NY |
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | 56704 | MN |
NPI | 1083781215 |
---|---|
Provider Name | Mabel M Ryder |
First Address | Rochester, MN 55905-0001 |
Second Address | Rochester, MN 55905-0001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/11/2006 |
Last Update Date | 20/08/2020 |