Individual
BRENNAN T REEDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1200 W STATE ST, ROCKFORD, IL 61102-2112
(815) 490-1600
(815) 490-1881
Mailing address
1200 WEST STATE STREET, ROCKFORD, IL 61102-2112
(815) 490-1600
(815) 815-1881
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085007247
IL
Other
Enumeration date
08/10/2018
Last updated
09/17/2019
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