Provider Demographics
NPI:1053374488
Name:REHM, NATALIE A (DO)
Entity type:Individual
Prefix:DR
First Name:NATALIE
Middle Name:A
Last Name:REHM
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1495 COUNTY ROAD 101 N
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:MN
Mailing Address - Zip Code:55447-3078
Mailing Address - Country:US
Mailing Address - Phone:763-504-6600
Mailing Address - Fax:
Practice Address - Street 1:1495 COUNTY ROAD 101 N
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:MN
Practice Address - Zip Code:55447-3078
Practice Address - Country:US
Practice Address - Phone:763-504-6600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-07
Last Update Date:2024-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN43621207Q00000X
IADO-04539207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA1053374488Medicaid
IAP01353143OtherRR MEDICARE
H40923Medicare UPIN
IAP01353143OtherRR MEDICARE