Individual
BRANDON PAUL REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
320 EAST MAIN STREET, CROSBY, MN 56441
(218) 546-7000
(218) 546-4400
Mailing address
320 EAST MAIN STREET, CROSBY, MN 56441
(218) 546-7000
(218) 546-4400
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
68109
MN
208800000X
Urology Physician
7719201-1205
UT
208800000X
Urology Physician
A96328
CA
Other
Enumeration date
08/15/2006
Last updated
11/19/2020
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