Individual
PETER J REYNEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1201 W AGENCY RD, WEST BURLINGTON, IA 52655-1645
(319) 754-4242
Mailing address
1201 W AGENCY RD, WEST BURLINGTON, IA 52655-1645
(319) 754-4242
(319) 754-4079
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
40277
IA
207Q00000X
Family Medicine Physician
4244
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
121322900
—
MN
05
—
1962467282
—
IA
05
—
5610134
—
SD
Enumeration date
04/19/2006
Last updated
03/07/2023
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