Individual
DR. CHRISTOPHER MARK REILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
750 E 34TH ST, HIBBING, MN 55746-2341
(218) 262-4881
(218) 362-6699
Mailing address
23 W CENTRAL ENTRANCE # 160, DULUTH, MN 55811-3433
(218) 722-3700
(218) 722-8705
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
57879
MN
2085R0202X
Diagnostic Radiology Physician
Primary
57879
MN
2085R0203X
Therapeutic Radiology Physician
57879
MN
2085R0204X
Vascular & Interventional Radiology Physician
57879
MN
2085U0001X
Diagnostic Ultrasound Physician
57879
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
57879
MN STATE
MN
Enumeration date
12/08/2009
Last updated
06/23/2021
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