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NPI Code Detail

MEDICARE: DR. JOHN P REED M.D.

MEDICARE:  DR. JOHN P REED  M.D.
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
1208000000XPediatrics Physician53740MN
2207R00000XInternal Medicine Physician53740MN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1952366338
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOHN P REED M.D.
Provider Business Mailing Address
First Line : 9555 UPLAND LN N FL 3
Second Line :
City : MAPLE GROVE
State : MN
Zip : 55369-4485
Country : US
Telephone Number : 952-993-1440
Fax Number : 952-977-3172
Provider Business Practice Location Address
First Line : 9555 UPLAND LN N FL 3
Second Line :
City : MAPLE GROVE
State : MN
Zip : 55369-4485
Country : US
Telephone Number : 952-993-1440
Fax Number : 952-977-3172
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/19/2006
Last Update Date : 01/15/2020

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Directions to “ DR. JOHN P REED M.D.” Practice Location

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