Individual
JEFFREY L REICHEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
405 STAGELINE RD, HUDSON, WI 54016-7848
(715) 531-6625
(651) 275-1475
Mailing address
8177 KIMBRO AVE N, STILLWATER, MN 55082-8329
(651) 351-0517
(651) 275-1475
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R0876111
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
482T0RE
BLUE CROSS
MN
05
—
845542200
—
MN
01
—
965621017315
PREFERREDONE
—
Enumeration date
01/26/2006
Last updated
09/09/2008
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