Individual
DR. RITA WALLACE-REED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MPH
Contact information
Practice address
5701 SHINGLE CREEK PKWY, SUITE 305, BROOKLYN CENTER, MN 55430-2467
(763) 566-0344
(763) 566-4658
Mailing address
5701 SHINGLE CREEK PKWY, SUITE 305, BROOKLYN CENTER, MN 55430-2467
(763) 561-0344
(763) 566-4658
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
44408
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
312479700
—
MN
Enumeration date
04/04/2006
Last updated
05/31/2016
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