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NPI Code Detail

MEDICARE: JAMI REISTER MD

MEDICARE: JAMI REISTER MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician5243SD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1538141023
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMI REISTER MD
Provider Business Mailing Address
First Line : 2000 NORTH AVE
Second Line :
City : NORTHFIELD
State : MN
Zip : 55057-1498
Country : US
Telephone Number : 507-646-1000
Fax Number :
Provider Business Practice Location Address
First Line : 2000 NORTH AVE
Second Line :
City : NORTHFIELD
State : MN
Zip : 55057-1498
Country : US
Telephone Number : 507-646-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/18/2005
Last Update Date : 07/08/2007

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Directions to “ JAMI REISTER MD” Practice Location

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