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Individual

STEPHEN C REICHL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6500 EXCELSIOR BLVD, ST LOUIS PARK, MN 55426-4702
(952) 993-1000
Mailing address
8170 33RD AVE S, BLOOMINGTON, MN 55425-4516

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
30633
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0427146
MEDICA HEALTH PLANS
01
110914
U-CARE
01
2114080
FIRST HEALTH PLAN
01
600829
ARAZ GROUP/AMERICA'S PPO
01
6D084RE
BLUE CROSS BLUE SHIELD
01
914383100
MEDICAL ASSISTANCE (MA)
05
914383100
MN
01
986026
PREFERRED ONE
01
HP22734
HEALTH PARTNERS
Enumeration date
10/14/2005
Last updated
03/12/2021
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