Individual provider · NPI-1

Dr. Ryan Ban, M.D.

Hospitalist · Woodbury, MN

NPI number1154701282
StatusActive
Last updated in NPPESAug 23, 2018

Details

NPI
1154701282
Entity type
Individual (NPI-1)
Name
Dr. Ryan Ban
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Jun 3, 2015
Last updated
Aug 23, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208M00000X Hospitalist64494MNYes
207Q00000X Family MedicineLL38233SC

Practice location

1925 Woodwinds Dr
Woodbury, MN 55125

Phone 651-232-0395

Mailing address

1925 Woodwinds Dr
Woodbury, MN 55125-4445

Other practice locations

9228 Medical Plaza Dr
Charleston, SC 29406-9125

Phone 843-876-7080

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