Ryan Skoog

Physician Assistant · Staples, MN

Individual Active NPI

NPI number 1689346967

Practice location

49725 County 83
Staples, MN 56479-5280
Phone
(218) 894-1515

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NPI record

NPI
1689346967
Entity type
Individual (Type 1)
Enumeration date
October 4, 2021
Last updated
October 4, 2021
Certified
October 4, 2021
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X 13765 MN
Surgical Physician Assistant 363AS0400X 13765 MN

Mailing address

242 W Johnson St
Menahga, MN 56464-2296
Phone
(218) 849-7288

About Ryan Skoog

Ryan Skoog is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 49725 County 83, Staples, MN 56479-5280. The NPI number 1689346967 was assigned on October 4, 2021 and the record was last updated on October 4, 2021.

Ryan Skoog lists 2 licenses in the registry: #13765 (MN) for Physician Assistant; #13765 (MN) for Surgical Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Ryan Skoog?

The NPI number is 1689346967.

What is the phone number of Ryan Skoog?

The phone number listed for the practice location is (218) 894-1515.

Where is Ryan Skoog located?

49725 County 83, Staples, MN 56479-5280.

What is the taxonomy code for Ryan Skoog?

The primary taxonomy code is 363A00000X – Physician Assistant; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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