Charles P Reznikoff
Internist - Addiction Medicine
807 Park Ave
Minneapolis
, Minnesota 55404-1136
Charles P Reznikoff
Internist - Addiction Medicine
807 Park Ave
Minneapolis
, Minnesota 55404-1136
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About
Features
Specialties
- Internist - Addiction Medicine
Languages spoken
- English
Location
First Address
- Charles P Reznikoff
- 701 Park Ave # G5
- Minneapolis, MN
- Zip : 55415-1623
- Phone :
Second Address
- Charles P Reznikoff
- 807 Park Ave
- Minneapolis, MN
- Zip : 55404-1136
- Fax : (612) 347-7615
- Phone : (612) 347-7600
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RA0401X | Internist - Addiction Medicine | 48516 | MN |
National Provider Identifier
| NPI | 1013952175 |
|---|---|
| Provider Name | Charles P Reznikoff |
| First Address | Minneapolis, MN 55415-1623 |
| Second Address | Minneapolis, MN 55404-1136 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/06/2006 |
| Last Update Date | 02/10/2012 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.