Bradley Reiners PAC

NPI 1043270440 - Physician Assistant - 363A00000X

NPI Details
NPI 1043270440
Gender Male
Enumeration Date 03/28/2006
Last Updated 05/27/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
2501 KEENAN DRIVE
INTERNATIONAL FALLS MN, 56649, US
Phone (218) 283-9431
Fax
Business Location
2501 KEENAN DRIVE
INTERNATIONAL FALLS MN, 56649, US
Phone (218) 283-9431
Fax
Toxanomy
Taxonomy Code 363A00000X
License State Wisconsin
License Number 1875
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According to our database, Bradley Reiners PAC NPI is 1043270440, taxonomy code is 363A00000X and license number is 1875, license state is located at Wisconsin. Bradley Reiners PAC physically located at 2501 Keenan Drive, International Falls MN, 56649. NPI Number Bradley Reiners PAC has the Individual type.

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1043270440 NPI number is provided on an as is basis without warranty of any kind. 1043270440 is maintained by the National Plan & Provider Enumeration System. The contents of Bradley Reiners PAC are for informational purposes only.