Individual
DR. BRADY REESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O
Contact information
Practice address
3701 12TH ST N STE 2020, SAINT CLOUD, MN 56303-2255
(320) 258-3090
(320) 258-3095
Mailing address
3701 12TH ST N STE 2020, SAINT CLOUD, MN 56303-2255
(320) 258-3090
(320) 258-3095
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
0102203552
VA
207L00000X
Anesthesiology Physician
Primary
0102203552
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/20/2012
Last updated
03/23/2021
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