Individual
REECE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
275 MICHIGAN ST NE FL 9, GRAND RAPIDS, MI 49503-2531
(866) 989-7999
Mailing address
275 MICHIGAN ST NE FL 9, GRAND RAPIDS, MI 49503-2531
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
4351049935
MI
208D00000X
General Practice Physician
4301516607
MI
Other
Enumeration date
04/14/2021
Last updated
05/12/2026
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