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Individual

GARY ANDREW REINHEIMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
30795 23 MILE RD, SUITE 209, CHESTERFIELD, MI 48047-5720
(586) 948-0093
(586) 421-7500
Mailing address
43750 GARFIELD RD, SUITE 104, CLINTON TWP, MI 48038-1135
(586) 226-6865
(586) 226-6880

Taxonomy

Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
4301046162
MI
208000000X
Pediatrics Physician
4301046162
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4373674
MI
05
4373807
MI
05
4704131
MI
Enumeration date
03/30/2006
Last updated
01/18/2008
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