Healthcare Provider Details

I. General information

NPI: 1982724399
Provider Name (Legal Business Name): TOD S REED DPM PC INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/30/2007
Last Update Date: 06/19/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3400 W PURDUE AVE
MUNCIE IN
47304-5267
US

IV. Provider business mailing address

3400 W PURDUE AVE
MUNCIE IN
47304-5267
US

V. Phone/Fax

Practice location:
  • Phone: 765-287-8279
  • Fax:
Mailing address:
  • Phone: 765-287-8279
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number
License Number State

VIII. Authorized Official

Name: DR. TOD SHERMAN REED
Title or Position: PRESIDENT
Credential: DPM
Phone: 76652878279