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Contact Information

MICHAEL REYES
523 N 3RD ST
BRAINERD, MN56401
 Phone: 218-828-7470
 Fax: 218-828-7404
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for MICHAEL REYES · (Male)

NPI # 1376959577
Status Active
Credentials
Entity Individual
Enumeration date 07/08/2014
Last updated 06/26/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 59543
Hospital affiliation(s)
  • ESSENTIA HEALTH ST JOSEPH'S MEDICAL CENTER - (Acute Care)
    523 NORTH 3RD STREET
    BRAINERD, MN 56401
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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