Provider Demographics
NPI:1841267739
Name:REINSCHMIDT, JAMIE LYN MILLER (MD)
Entity type:Individual
Prefix:
First Name:JAMIE LYN
Middle Name:MILLER
Last Name:REINSCHMIDT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:JAMIE
Other - Middle Name:LYN MILLER
Other - Last Name:REINSCHMIDT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:8170 33RD AVE S
Mailing Address - Street 2:MS21110Q
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55425-4516
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2831 N SNELLING AVE - MAIL STOP 39601A
Practice Address - Street 2:NORTH SURBURBAN FAMILY PHYSICIANS - ROSEVILLE
Practice Address - City:ROSEVILLE
Practice Address - State:MN
Practice Address - Zip Code:55113-2460
Practice Address - Country:US
Practice Address - Phone:651-765-5900
Practice Address - Fax:651-765-5901
Is Sole Proprietor?:No
Enumeration Date:2006-03-01
Last Update Date:2020-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN38027207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN399118100Medicaid
G14656Medicare UPIN
MN399118100Medicaid