| John Michael Ryden, MD | |
|
8373 Unity Dr, Virginia, MN 55792-4005 | |
| (218) 748-7480 | |
| (218) 748-7488 |
| Full Name | John Michael Ryden |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 8373 Unity Dr, Virginia, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578589255 | NPI | - | NPPES |
| 361714900 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 40514 (Minnesota) | Primary |
| Entity Name | Group Health Plan Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710924683 PECOS PAC ID: 1759293954 Enrollment ID: O20031105000417 |
| Entity Name | St Lukes Hospital Of Duluth |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902845068 PECOS PAC ID: 7113834839 Enrollment ID: O20031120000212 |
| Mailing Address | Practice Location Address |
|---|---|
| John Michael Ryden, MD 8373 Unity Dr, Virginia, MN 55792-4005 Ph: (218) 748-7480 | John Michael Ryden, MD 8373 Unity Dr, Virginia, MN 55792-4005 Ph: (218) 748-7480 |
Lisa Ann Seeber, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1101 9th St N, Virginia, MN 55792 Phone: 218-741-0150 | |
Brenda Lee Cary, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1101 9th Street North, Duluth Clinic - Virginia, Virginia, MN 55792 Phone: 218-741-0150 Fax: 715-588-7884 | |
Nicholas Brian Vidor, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1101 9th St N, Virginia, MN 55792 Phone: 218-305-0000 | |
Alexis White, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1101 9th St N, Virginia, MN 55792 Phone: 218-786-8364 | |
Dr. Ramesh Kumar Tentu, MBBS Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1101 9th St N, Essentia Health Virginia Clinic, Virginia, MN 55792 Phone: 218-741-0150 | |
Dr. Stephen Andrew Smith, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1101 9th St N, Virginia, MN 55792 Phone: 218-741-0150 | |
Dr. Robert Thomas Rutka, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 901 9th St N, Suite 115, Virginia, MN 55792 Phone: 218-748-7750 Fax: 218-742-8689 |