Organization
MAGNUM MANAGMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LARRY H. REID D.O. (PRESIDENT)
(248) 424-9749
Entity
Organization
Contact information
Practice address
17600 W 8 MILE RD, SUITE # 5, SOUTHFIELD, MI 48075-4305
(248) 424-9749
Mailing address
PO BOX 48456, OAK PARK, MI 48237-6056
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
7021
MI
Other
Enumeration date
05/01/2007
Last updated
06/20/2008
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