Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | TP 177 | MN |
NPI | 1043522295 |
---|---|
Provider Name | Dr. Ryan R Reinking |
First Address | Duluth, MN 55805-2297 |
Second Address | Saint Paul, MN 55101-2502 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/07/2010 |
Last Update Date | 18/07/2013 |