Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 51776 | MN |
Y | 208600000X | Surgeon | 51776 | MN |
N | 208200000X | Surgeon | 9817 | ND |
N | 208600000X | Surgeon | 9817 | ND |
N | 2086X0206X | Surgical Oncologist | 40797 | KY |
NPI | 1457479446 |
---|---|
Provider Name | Nathaniel P. Reuter |
First Address | St. Cloud, MN 56303-2735 |
Second Address | St. Cloud, MN 56303-2735 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/03/2007 |
Last Update Date | 06/11/2020 |