DR. Mark Edward Reiter

NPI #1760888028 in Fairmont, Minnesota

Provider Information

NPI Number: 1760888028
Entity Type: Individual
Name: DR. Mark Edward Reiter
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Enumeration Date: Nov 14, 2014
Last Updated: Nov 14, 2014

Practice Location

Address: 717 S STATE ST
Address 2: SUITE 500
City: Fairmont
State: Minnesota
ZIP Code: 56031-4469
Phone: (507) 235-6254

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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