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NPI Code Detail

MEDICARE: NATHAN L REIMNITZ PA-C

MEDICARE: NATHAN L REIMNITZ PA-C
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
1363A00000XPhysician Assistant12098MN
2363A00000XPhysician Assistant7307-23WI

General Provider Information

NPI Number : 1598125817
Entity Type Code : Individual
Provider Name (Legal Business Name) : NATHAN L REIMNITZ PA-C
Provider Business Mailing Address
First Line : 3555 WILLOW LAKE BLVD
Second Line :
City : VADNAIS HEIGHTS
State : MN
Zip : 55110-5131
Country : US
Telephone Number : 652-431-5330
Fax Number :
Provider Business Practice Location Address
First Line : 3555 WILLOW LAKE BLVD
Second Line :
City : VADNAIS HEIGHTS
State : MN
Zip : 55110-5131
Country : US
Telephone Number : 652-431-5330
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/29/2016
Last Update Date : 12/16/2025

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Directions to “ NATHAN L REIMNITZ PA-C” Practice Location

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