# REESE SURGICAL GROUP PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972762631
- **Authorized official:** DR. ROBERT J REESE D.O. (OWNER)
- **Authorized official phone:** (952) 922-4247

## Contact information

- **Practice address:** 6525 FRANCE AVE S, SUITE 305, EDINA, MN 55435-2148
- **Practice address phone:** (952) 922-4247
- **Practice address fax:** (952) 884-8109
- **Mailing address:** 6525 FRANCE AVE S, SUITE 305, EDINA, MN 55435-2148
- **Mailing address phone:** (952) 922-4247
- **Mailing address fax:** (952) 884-8109

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | 42244 | MN | Yes |

## Other

- **Enumeration date:** 06/06/2008
- **Last updated:** 06/06/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1134152085 | TYPE I NPI | MN |