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General NPI Number Information
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NPI Number | 1710270665
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Entity Type | Individual
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Provider Name | RYAN JAMES GREINER M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/25/2011
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Last Update Date | 12/27/2023
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Provider Practice Location Address
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Address Line | 3300 OAKDALE AVE N
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City | ROBBINSDALE
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State | MN
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Zip | 55422-2926
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Country | US
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Telephone | 637-581-2449
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Fax |
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Provider Business Mailing Address
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Address Line | 1812 CLINTON AVE APT 102
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City | MINNEAPOLIS
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State | MN
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Zip | 55404-2466
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Country | US
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Telephone | 708-935-9056
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 57226
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License Number State | MN
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