Funk, Ryan Kevin

Funk, Ryan Kevin is an individual health care provider with primary practice located at 1580 Beam Ave , Maplewood MN 55109. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Radiation Oncology. Allopathic & Osteopathic Physicians / Radiation Oncology is his primary health care specialty. Funk, Ryan Kevin can be contacted via phone (651) 779-7978.

Contact Information

Primary practice address
1580 Beam Ave Maplewood MN 55109
Phone: (651) 779-7978
Fax: (651) 779-7656
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 2012018706 Missouri
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 107113 Minnesota
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 56878 Minnesota

Profile Details

NPI number 1871856641
LBN Legal business name Funk, Ryan Kevin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 2012
Last updated Jun 25th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871856641 NPPES
Iowa MEDICAID ENROLLED
Iowa MEDICAID ENROLLED
Iowa Other P01249784

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