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Individual

DR. JOHN L REED

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
211 N EDDY ST, SOUTH BEND, IN 46617-2808
(574) 246-8816
(574) 204-6345
Mailing address
211 N EDDY ST, SOUTH BEND, IN 46617-2808
(574) 246-8816
(574) 204-6345

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01030436A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01030436A
LICENSE
IN
Enumeration date
07/26/2006
Last updated
03/07/2023
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