Individual
DR. JOHN P REED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9555 UPLAND LN N FL 3, MAPLE GROVE, MN 55369-4485
(952) 993-1440
(952) 977-3172
Mailing address
9555 UPLAND LN N FL 3, MAPLE GROVE, MN 55369-4485
(952) 993-1440
(952) 977-3172
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
53740
MN
208000000X
Pediatrics Physician
53740
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
420301100
—
MD
Enumeration date
04/19/2006
Last updated
01/15/2020
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