Most Relevant Information
Provider Data
| NPI Number: | 1003255381 |
| Provider Name: | RYAN ROBERT BENRUD PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: | 11438 |
Most Important Dates
| Enumeration Date: | 06/19/2013 |
| Last Updated: | 12/06/2023 |
Provider Practice Location
200 1ST ST SW
ROCHESTER
MN
559050001
Practice Location Phone/Fax
| Phone: | 5072842511 |
| Fax: |
Provider Mailing Location
200 1ST ST SW
ROCHESTER
MN
559050001
Provider Mailing Phone/Fax
| Phone: | 5072842511 |
| Fax: |