Individual
PAUL L REESE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
323 S MINNESOTA ST, CROOKSTON, MN 56716-1601
(218) 281-9595
Mailing address
10718 440TH ST SE, FERTILE, MN 56540-9160
(218) 945-6036
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
9050
MN
Other
Enumeration date
06/05/2006
Last updated
07/08/2007
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