Reardon, Robert

Reardon, Robert is an individual health care provider with primary practice located at 500 S Maple St , Waconia MN 55387-1752. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Reardon, Robert can be contacted via phone (952) 442-2191.

Contact Information

Primary practice address
500 S Maple St Waconia MN 55387-1752
Phone: (952) 442-2191
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 41222 Minnesota

Profile Details

NPI number 1023057767
LBN Legal business name Reardon, Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2006
Last updated Dec 4th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023057767 NPPES
Other 39-01779 MEDICA EMERG
Other 53D12RE MEDICA EMERG
Other HP26245 MEDICA EMERG
Other 1017974 MEDICA EMERG
Other 118313 MEDICA EMERG

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