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NPI Profile for RYAN SELBRADE in FAIRMONT, MN.
An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Private Vehicle |
347C00000X | |||
Non-emergency Medical Transport (VAN) |
343900000X |
| NPI Number | 1538586714 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 03/25/2014 | |
| Last updated | 03/25/2014 - About 12 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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RYAN SELBRADE
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RYAN SELBRADE