Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JONATHAN-ERLE CHRISTIAN REID
ActiveSports Medicine (EM) · EDEN PRAIRIE, MN
Registration Details
- NPI Number
- 1811553241
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 10, 2019 (6.951120221123 yrs)
- Last Updated
- Aug 22, 2023
- Licenses
-
036161672 (IL)74098 (MN)036.161672 (IL)
Practice Information
- Address
-
965 PRAIRIE CENTER DR STE 200EDEN PRAIRIE, MN, 553443671Browse MN providers · Browse ZIP 55344
- Phone
- 9529958780
- Primary Specialty
-
Sports Medicine (EM)
207PS0010X
- Additional Specialty
- Sports Medicine (EM)
- Additional Specialty
- Sports Medicine (EM)
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.