Individual
JULIE C. REDDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
701 DELLWOOD ST S, CAMBRIDGE, MN 55008-1920
(763) 689-8700
(763) 688-7941
Mailing address
2211 PARK AVE, MINNEAPOLIS, MN 55404-3711
(612) 813-3863
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
41710
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1000010
MEDICA PRIMARY
MN
01
—
1011352
MEDICA CHOICE
MN
01
—
1022115
PREFERREDONE
MN
01
—
123761
UCARE
MN
01
—
32578600
MEDICAID - WISCONSIN
WI
01
—
83D52RE
BLUE CROSS
MN
01
—
855113
AMERICA'S PPO
MN
05
—
974027900
—
MN
Enumeration date
08/10/2005
Last updated
01/23/2023
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