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NPI Code Detail

MEDICARE: MR. RYAN JON HOKANSON DC

MEDICARE:  MR. RYAN JON HOKANSON  DC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor4008MN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
280988HEOTHERMNBCBS

General Provider Information

NPI Number : 1558367151
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. RYAN JON HOKANSON DC
Provider Business Mailing Address
First Line : 13073 EVERGREEN DR UNIT 1
Second Line :
City : BAXTER
State : MN
Zip : 56425-7444
Country : US
Telephone Number : 218-829-8200
Fax Number : 218-829-8201
Provider Business Practice Location Address
First Line : 13073 EVERGREEN DR UNIT 1
Second Line :
City : BAXTER
State : MN
Zip : 56425-7444
Country : US
Telephone Number : 218-829-8200
Fax Number : 218-829-8201
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/28/2005
Last Update Date : 08/01/2025

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Directions to “ MR. RYAN JON HOKANSON DC” Practice Location

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