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Contact Information

BRADY REESE, D.O
3701 12TH ST N STE 2020
SAINT CLOUD, MN56303-2255
 Phone: 320-258-3090
 Fax: 320-258-3095
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

Military Health Care Provider

171000000X
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for BRADY REESE · (Male)

NPI # 1306109673
Status Active
Credentials D.O
Entity Individual
Enumeration date 06/20/2012
Last updated 03/23/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • VA License # 0102203552
Hospital affiliation(s)
  • ST CLOUD HOSPITAL - (Acute Care)
    1406 6TH AVE NORTH
    SAINT CLOUD, MN 56303
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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