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NPI 1043522295

NPI 1043522295 : DR. RYAN R REINKING : DULUTH, MN

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General NPI Number Information
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    NPI Number           |    1043522295
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    Entity Type          |    Individual 
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    Provider Name        |    DR. RYAN R REINKING
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    07/03/2010
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    Last Update Date     |    07/31/2025
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Provider Practice Location Address
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    Address Line         |    1000 E 1ST ST STE 400 
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    City                 |    DULUTH
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    State                |    MN
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    Zip                  |    55805-2297
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    Country              |    US
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    Telephone            |    218-722-5513
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    Fax                  |    218-722-6515
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Provider Business Mailing Address
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    Address Line         |    1000 E 1ST ST STE 400 
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    City                 |    DULUTH
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    State                |    MN
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    Zip                  |    55805-2297
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    Country              |    US
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    Telephone            |    218-722-5513
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    Fax                  |    218-722-6515
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    213ES0103X
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    Taxonomy Name        |    Foot & Ankle Surgery Podiatrist
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    License Number       |    896
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    License Number State |    MN
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Taxonomy #2
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    Taxonomy Code        |    213ES0103X
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    Taxonomy Name        |    Foot & Ankle Surgery Podiatrist
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    License Number       |    TP 177
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    License Number State |    MN
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