MEDICARE: JOSEPH REED

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251V00000X	Voluntary or Charitable Agency

General Provider Information

NPI Number	:	1235915653
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSEPH REED

Provider Business Mailing Address
First Line	:	2739 CEDAR AVE S
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55407-1236
Country	:	US
Telephone Number	:	314-817-4036
Fax Number	:

Provider Business Practice Location Address
First Line	:	2739 CEDAR AVE S
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55407-1236
Country	:	US
Telephone Number	:	314-817-4036
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/01/2023
Last Update Date	:	09/01/2023

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Directions to “ JOSEPH REED ” Practice Location

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