Provider Demographics
NPI:1770882045
Name:REID, ERIKA ELISE (MD, MA)
Entity type:Individual
Prefix:DR
First Name:ERIKA
Middle Name:ELISE
Last Name:REID
Suffix:
Gender:F
Credentials:MD, MA
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3316 W 66TH ST STE 200
Mailing Address - Street 2:
Mailing Address - City:EDINA
Mailing Address - State:MN
Mailing Address - Zip Code:55435-2544
Mailing Address - Country:US
Mailing Address - Phone:952-920-3808
Mailing Address - Fax:
Practice Address - Street 1:3316 W 66TH ST STE 200
Practice Address - Street 2:
Practice Address - City:EDINA
Practice Address - State:MN
Practice Address - Zip Code:55435-2544
Practice Address - Country:US
Practice Address - Phone:952-920-3803
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-03-25
Last Update Date:2017-07-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MN59229207NI0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207NI0002XAllopathic & Osteopathic PhysiciansDermatologyClinical & Laboratory Dermatological Immunology