Individual
MATTHEW W REEVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
17320 W 12 MILE RD STE 101, SOUTHFIELD, MI 48076-2102
(248) 727-3456
(248) 557-4697
Mailing address
421 W SUNNYBROOK DR, ROYAL OAK, MI 48073-2533
(843) 636-2662
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
4704371275
MI
363LF0000X
Family Nurse Practitioner
Primary
4704371275
MI
Other
Enumeration date
09/10/2024
Last updated
06/24/2025
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