Individual
ALAN REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
20885020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16086
SECURITY HEALTH PLAN
WI
01
—
30272300
MANAGED HEALTH CARE
WI
05
—
30272300
—
WI
01
—
REYNOLDS
WPS
WI
Enumeration date
07/16/2006
Last updated
07/09/2007
Update your record
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