Individual
MRS. HEATHER JANE REEVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1411 STATE HWY 79 EAST, ELBOW LAKE, MN 56531
(218) 685-7300
(218) 685-6749
Mailing address
712 S CASCADE ST, FERGUS FALLS, MN 56537-2913
(218) 736-8000
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
9577
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
787625400
—
MN
Enumeration date
11/29/2005
Last updated
02/20/2017
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