Individual
TERESA MARIE REINHOLZ
Active
Individual
TERESA MARIE REINHOLZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PAC0313
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
71124
—
ND
05
—
71296
—
ND
05
—
847059600
—
MN
Enumeration date
07/22/2006
Last updated
06/24/2013
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