Individual
MARY J REISS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5300 ALPINE DR NW, RAMSEY, MN 55303-4778
(612) 427-7180
(612) 427-6936
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-4813
(612) 262-4194
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
9208
MN
Other
Enumeration date
04/26/2006
Last updated
07/08/2007
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