Kroll, Ryan M

Kroll, Ryan M is an individual health care provider with primary practice located at 49725 County 83 , Staples MN 56479-5280. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Kroll, Ryan M can be contacted via phone (218) 894-1515.

Contact Information

Primary practice address
49725 County 83 Staples MN 56479-5280
Phone: (218) 894-1515
Fax: (218) 894-8767
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 58091 Minnesota

Profile Details

NPI number 1235573049
LBN Legal business name Kroll, Ryan M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 23rd, 2013
Last updated Mar 20th, 2017 - 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 1235573049 NPPES
Minnesota MEDICAID 1235573049
Minnesota Other 1235573049
Minnesota Other 0001-0117089

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