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General NPI Number Information
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NPI Number | 1386872539
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Entity Type | Individual
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Provider Name | KATHERINE FAITH REIGSTAD M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/26/2009
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Last Update Date | 03/30/2023
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Provider Practice Location Address
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Address Line | 101 WILLMAR AVE SW ACMC-WILLMAR
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City | WILLMAR
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State | MN
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Zip | 56201
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Country | US
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Telephone | 320-231-5010
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Fax | 320-231-5067
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Provider Business Mailing Address
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Address Line | 901 15TH AVE NW
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City | WILLMAR
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State | MN
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Zip | 56201-2136
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Country | US
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Telephone | 320-979-7507
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Fax |
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 60877
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | 60877
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License Number State | MN
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