Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 49420 | WI |
Y | 111NI0900X | Internist | 49420 | WI |
N | 207R00000X | Internist | 50113 | MN |
N | 111NI0900X | Internist | 50113 | MN |
N | 207RH0002X | Hospice and Palliative Medicine | 50113 | MN |
NPI | 1235357088 |
---|---|
Provider Name | Bryan W Reed |
First Address | La Crosse, WI 54601-5429 |
Second Address | La Crosse, WI 54601-5429 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/04/2007 |
Last Update Date | 15/05/2019 |