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Individual

MYRON BROOK REDD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3001 SANFORD PKWY, THIEF RIVER FALLS, MN 56701
(218) 681-4747
Mailing address
11608 HWY 32 NE, THIEF RIVER FALLS, MN 56701-2700
(218) 280-7062

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
2009038289
MO
208600000X
Surgery Physician
46083
MN
208600000X
Surgery Physician
Primary
DR.0059676
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
014982900
MN
01
020001912
MEDICARE ID-TYPE UNSPECIFIED, MN MEDICARE #
MN
05
12531
MN
01
1701054
MEDICA #
MN
01
1862175
AMERICA'S PPO/ARAZ#
MN
01
23407
NDBS#
MN
01
375J0RE
MNBS#
MN
01
43450017
BCBS
MO
01
DA9021035197
PREFERRED ONE #
MN
01
HP39362
HEALTHPARTNERS #
MN
01
P00033158
MEDICARE ID-TYPE UNSPECIFIED, RR MEDICARE
MN
Enumeration date
06/23/2006
Last updated
03/31/2026
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