Individual
JOHN R REICHERT
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Contact information
Practice address
3800 PARK NICOLLET BLVD, PARK NICOLLET CLINIC SLP, ST LOUIS PARK, MN 55416-2527
(952) 993-3212
(952) 993-1970
Mailing address
6465 WAYZATA BLVD, STE 315, ST LOUIS PARK, MN 55426-1728
(952) 993-6450
(952) 993-0300
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
22636
MN
Other
Enumeration date
12/16/2005
Last updated
07/08/2007
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