| Doctor Name: | JERALD W REINHARDT |
| NPI Number: | 1568401313 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 29094 |
| Business Practice Address: | 1428 Central Ave Ne East Grand Forks, MN - 567211605 |
| Business Phone Number: | 8667731390 |
| Business Fax Number: | |
| Mailing Address: | 212 Plain Hills Dr, GRAND FORKS |
| State: | ND |
| Postal Code: | 582017942 |
| Phone Number: | 7017720412 |
| Fax Number: | |
| NPI Enumeration Date: | 06/06/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207VG0400X |
| License Number: | 29094 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Obstetrics & Gynecology |
| Taxonomy Specialization: | Gynecology |
| Taxonomy Definition: | |