Provider Demographics
NPI:1700833712
Name:REILAND, JULIANN MARIE (MD FACS)
Entity Type:Individual
Prefix:
First Name:JULIANN
Middle Name:MARIE
Last Name:REILAND
Suffix:
Gender:F
Credentials:MD FACS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1000 E 23RD ST
Mailing Address - Street 2:SUITE 360
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57105-2108
Mailing Address - Country:US
Mailing Address - Phone:605-322-3950
Mailing Address - Fax:605-322-3960
Practice Address - Street 1:1000 E 23RD ST
Practice Address - Street 2:STE 300
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57105-2108
Practice Address - Country:US
Practice Address - Phone:605-322-3950
Practice Address - Fax:605-322-3960
Is Sole Proprietor?:No
Enumeration Date:2006-05-27
Last Update Date:2016-11-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
SD4596208600000X
MN43231208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
SDS105512Medicare PIN
SDS41265Medicare PIN
H03422Medicare UPIN
SDP00056185Medicare PIN