| Dr Ryan David Valk, MD | |
|
14700 28th Ave N Ste 20, Plymouth, MN 55447-4876 | |
| (763) 559-3779 | |
| (763) 450-3986 |
| Full Name | Dr Ryan David Valk |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Location | 14700 28th Ave N Ste 20, Plymouth, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417584335 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 91927 (South Carolina) | Secondary |
| 207L00000X | Anesthesiology | 79872 (Minnesota) | Primary |
| Entity Name | Prisma Health University Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295763217 PECOS PAC ID: 8325950983 Enrollment ID: O20031103000238 |
| Entity Name | University Medical Associates Of The Medical University Of South Carol |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043241110 PECOS PAC ID: 6305758574 Enrollment ID: O20031105000291 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ryan David Valk, MD Po Box 47159, Plymouth, MN 55447-0159 Ph: (763) 559-3779 | Dr Ryan David Valk, MD 14700 28th Ave N Ste 20, Plymouth, MN 55447-4876 Ph: (763) 559-3779 |
Peter William Coleman, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 14700 28th Ave N Ste 20, Plymouth, MN 55447 Phone: 635-593-7797 Fax: 763-450-3986 | |
Dr. Jeffrey Mark Wise Ii, DO Anesthesiology Medicare: Medicare Enrolled Practice Location: 14700 28th Ave N Ste 20, Plymouth, MN 55447 Phone: 763-559-3779 Fax: 763-450-3986 | |
Robby Singh Sikka, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 14700 28th Ave N, Suite 20, Plymouth, MN 55447 Phone: 612-701-2080 | |
Erik Weston Anderson, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 14700 28th Ave N Ste 20, Plymouth, MN 55447 Phone: 763-559-3779 | |
Dr. Kathryn Rose Teague, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 14700 28th Ave N Ste 20, Plymouth, MN 55447 Phone: 763-559-3779 Fax: 763-450-3986 | |
Britta Anne Dosland, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 14700 28th Ave N Ste 20, Plymouth, MN 55447 Phone: 763-559-3779 Fax: 763-450-3986 | |
Laura Claire Bailly, DO Anesthesiology Medicare: May Accept Medicare Assignments Practice Location: 14700 28th Ave N Ste 20, Plymouth, MN 55447 Phone: 763-559-3779 |