Healthcare Provider Details

I. General information

NPI: 1669118295
Provider Name (Legal Business Name): MEREDITH HUSZAGH REED M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MEREDITH CLINGAN HUSZAGH M.D.

II. Dates (important events)

Enumeration Date: 05/06/2022
Last Update Date: 09/18/2026
Certification Date: 09/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3960 COON RAPIDS BLVD NW STE 200
COON RAPIDS MN
55433-2569
US

IV. Provider business mailing address

2925 CHICAGO AVE
MINNEAPOLIS MN
55407-1321
US

V. Phone/Fax

Practice location:
  • Phone: 763-236-9236
  • Fax:
Mailing address:
  • Phone: 612-262-9000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number82852
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: