Individual
DR. MONIQUE REEVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
555 TOWNER ST, YPSILANTI, MI 48198-5752
(734) 544-6869
(734) 544-6704
Mailing address
555 TOWNER ST, P.O BOX 0915, YPSILANTI, MI 48198-5752
(734) 544-6869
(734) 544-6704
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
430107057
MI
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
4301070357
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0108234972
BCBS
MI
05
—
10-4552100
—
MI
05
—
10-4552129
—
MI
05
—
10-4552138
—
MI
05
—
10-4552147
—
MI
05
—
10-4552156
—
MI
05
—
10-4552165
—
MI
05
—
10-4552174
—
MI
05
—
10-4552183
—
MI
05
—
10-4942124
—
MI
05
—
75255183
—
MI
Enumeration date
01/06/2006
Last updated
08/04/2011
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