Individual
MARTIE REIGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
790 KENSINGTON LN, BLOOMFIELD HILLS, MI 48304-3744
(734) 241-3891
(734) 241-0014
Mailing address
PO BOX 1213, BIRMINGHAM, MI 48012-1213
(734) 241-3891
(734) 241-0014
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704173685
MI
Other
Enumeration date
04/18/2006
Last updated
03/31/2015
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