Individual
DR. FREDERICK ELMER REINKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
510 E STONER AVE, SHREVEPORT, LA 71101-4243
(318) 424-6060
Mailing address
104 HANGING MOSS DR, BENTON, LA 71006-9425
(318) 965-4089
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
6967
AZ
207U00000X
Nuclear Medicine Physician
6967
AZ
Other
Enumeration date
09/06/2006
Last updated
09/11/2025
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