Individual
DR. ROBERT JOSEPH REESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
6525 FRANCE AVE S, SUITE, EDINA, MN 55435-2148
(803) 808-8070
(803) 808-8074
Mailing address
PO BOX 863550, ORLANDO, FL 32886-3550
(803) 808-8070
(803) 808-8074
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
42244
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1701525
MEDICA PROVIDER NUMBER
MN
05
—
334600500
—
MN
01
—
53M96RE
BCBSMN GRP NUMBER
MN
01
—
53M97RE
BCBS INDIV PROV NUMBER
MN
Enumeration date
07/07/2006
Last updated
07/22/2008
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