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Individual

TERESA MARIE REINHOLZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
2301 25TH ST S, FARGO, ND 58103-6104
(701) 234-8770
Mailing address
PO BOX 2168, FARGO, ND 58107-2168
(701) 234-2119

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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