Individual
TODD REIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
801 BROADWAY N, FARGO, ND 58102-3641
(701) 234-5121
Mailing address
801 BROADWAY N, FARGO, ND 58102-3641
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
12238
ND
2086S0129X
Vascular Surgery Physician
51249
MN
2086S0129X
Vascular Surgery Physician
A64977
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
17004
—
ND
Enumeration date
07/11/2006
Last updated
03/12/2025
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