Individual
DR. MARK EDWARD REITER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
717 S STATE ST, SUITE 500, FAIRMONT, MN 56031-4469
(507) 235-6254
(504) 235-6254
Mailing address
717 S STATE ST, SUITE 500, FAIRMONT, MN 56031-4469
(507) 235-6254
(504) 235-6254
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10457
MN
Other
Enumeration date
11/14/2014
Last updated
11/14/2014
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