Individual
JEAN R REINDL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2300 WESTERN AVE, MANITOWOC, WI 54220-3712
(920) 320-2249
(920) 320-3529
Mailing address
PO BOX 2290, MANITOWOC, WI 54221-2290
(920) 320-2249
(920) 320-3529
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
73815
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00183964
MEDICARE RAILROAD
WI
Enumeration date
08/16/2006
Last updated
10/24/2011
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