Individual provider · Type 1 NPI

Michael Ryan De la Rosa, MD

Student in an Organized Health Care Education/Training Program · Minneapolis, MN

NPI number 1568276152 Active

Practice location

420 Delaware St SE
Minneapolis, MN 55455-0341

Call (612) 626-6688 Map

Fax (612) 676-5058

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1568276152

Michael Ryan De la Rosa, MD's National Provider Identifier is 1568276152, issued on Feb 4, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Minneapolis, MN. The record was last updated on Jul 9, 2026.