Organization
REESE SURGICAL GROUP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT J REESE D.O. (OWNER)
(952) 922-4247
Entity
Organization
Contact information
Practice address
6525 FRANCE AVE S, SUITE 305, EDINA, MN 55435-2148
(952) 922-4247
(952) 884-8109
Mailing address
6525 FRANCE AVE S, SUITE 305, EDINA, MN 55435-2148
(952) 922-4247
(952) 884-8109
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
42244
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1134152085
TYPE I NPI
MN
Enumeration date
06/06/2008
Last updated
06/06/2008
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