Individual
DR. MITCH L REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
222 2ND AVE SW, PIPESTONE, MN 56164-1669
(507) 825-2214
Mailing address
222 2ND AVE SW, PIPESTONE, MN 56164-1669
(507) 825-2214
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4484
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04016009
—
MN
01
—
228L3PI
BLUECROSS BLUESHIELD
MN
Enumeration date
10/05/2006
Last updated
07/09/2007
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