MEDICARE: JAMIE LYN MILLER REINSCHMIDT 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
1	207Q00000X	Family Medicine Physician	38027	MN

Other Identifiers

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

General Provider Information

NPI Number	:	1841267739
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMIE LYN MILLER REINSCHMIDT MD

Provider Business Mailing Address
First Line	:	8170 33RD AVE S
Second Line	:	MS21110Q
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55425-4516
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2831 N SNELLING AVE - MAIL STOP 39601A
Second Line	:	NORTH SURBURBAN FAMILY PHYSICIANS - ROSEVILLE
City	:	ROSEVILLE
State	:	MN
Zip	:	55113-2460
Country	:	US
Telephone Number	:	651-765-5900
Fax Number	:	651-765-5901

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/01/2006
Last Update Date	:	09/15/2020

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