Individual
MR. MICHAEL REED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1405 MILL ST, NEW LONDON, WI 54961
(920) 531-2000
(920) 531-2098
Mailing address
122 E COLLEGE AVE, APPLETON, WI 54911-5794
(920) 996-3264
(920) 830-5910
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
114312
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43385900
—
WI
Enumeration date
10/20/2006
Last updated
07/09/2019
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