Redd, Myron Brook

Redd, Myron Brook is an individual health care provider with primary practice located at 3001 Sanford Pkwy , Thief River Falls MN 56701. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Redd, Myron Brook can be contacted via phone (218) 681-4747.

Contact Information

Primary practice address
3001 Sanford Pkwy Thief River Falls MN 56701
Phone: (218) 681-4747
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 2009038289 Missouri
Allopathic & Osteopathic Physicians / Surgery 208600000X 46083 Minnesota

Profile Details

NPI number 1962438770
LBN Legal business name Redd, Myron Brook
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2006
Last updated May 22nd, 2019 - about 6 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 1962438770 NPPES
Minnesota MEDICAID 014982900
Minnesota Other 375J0RE
Minnesota Other 23407
Minnesota Other 43450017
Minnesota Other 1862175
Minnesota Other P00033158
Minnesota Other 1701054
Minnesota Other DA9021035197
Minnesota Other 020001912
Minnesota MEDICAID 12531
Minnesota Other HP39362

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