Individual
MICHELLE REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
240 WILLOW ST, TYLER, MN 56178-1201
(507) 247-5521
Mailing address
240 WILLOW ST, TYLER, MN 56178-1201
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
68255
MN
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/12/2017
Last updated
10/02/2020
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