Healthcare Provider Details

I. General information

NPI: 1053374488
Provider Name (Legal Business Name): NATALIE A REHM D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/07/2006
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12800 ROLLING RIDGE RD
BECKER MN
55308-8838
US

IV. Provider business mailing address

12800 ROLLING RIDGE RD
BECKER MN
55308-8838
US

V. Phone/Fax

Practice location:
  • Phone: 763-261-7000
  • Fax:
Mailing address:
  • Phone: 763-261-7000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number43621
License Number StateMN
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberDO-04539
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: