Individual
MICHAEL REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
523 N 3RD ST, BRAINERD, MN 56401
(218) 828-7470
(218) 828-7404
Mailing address
400 E 3RD ST, DULUTH, MN 55805-1951
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
59543
MN
Other
Enumeration date
07/08/2014
Last updated
06/26/2019
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