Provider Demographics
NPI:1407084205
Name:STRUTT, JONATHAN RYHS (MD)
Entity Type:Individual
Prefix:DR
First Name:JONATHAN
Middle Name:RYHS
Last Name:STRUTT
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2450 RIVERSIDE AVENUE
Mailing Address - Street 2:M653 EAST BUILDING
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55454
Mailing Address - Country:US
Mailing Address - Phone:612-625-6678
Mailing Address - Fax:612-626-1144
Practice Address - Street 1:2450 RIVERSIDE AVENUE
Practice Address - Street 2:M653 EAST BUILDING
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55454
Practice Address - Country:US
Practice Address - Phone:612-625-6678
Practice Address - Fax:612-626-1144
Is Sole Proprietor?:No
Enumeration Date:2009-06-30
Last Update Date:2016-07-27
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Provider Licenses
StateLicense IDTaxonomies
MN571042080P0204X
MO2012011184208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Yes2080P0204XAllopathic & Osteopathic PhysiciansPediatricsPediatric Emergency Medicine