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Organization
THEODORE REAHM DO, PLC
Active
Organization
THEODORE REAHM DO, PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THEODORE K REAHM D.O. (OWNER)
(989) 733-4045
Entity
Organization
Contact information
Practice address
3570 N VETERANS DR, ONAWAY, MI 49765-8913
(989) 733-4045
(989) 733-4046
Mailing address
3570 N VETERANS DR, ONAWAY, MI 49765-8913
(989) 733-4045
(989) 733-4046
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101013953
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4943435
—
MI
01
—
DF1500
RR MEDICARE
MI
Enumeration date
11/09/2006
Last updated
02/19/2008
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