Individual
ALEATHA DENISE REITSMA-MATHIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8001 CHALLIS RD, BRIGHTON, MI 48116-7446
(734) 998-2020
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301072313
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04-08715
MEDICA
IA
05
—
0484964
—
IA
01
—
07878
BCBS - ER LOCATION
IA
05
—
1484964
—
IA
01
—
14857
AVERA HEALTH PLAN
IA
01
—
249977
MIDLANDS CHOICE
IA
01
—
426038405
SELECTFIRST
IA
01
—
49409
SIOUX VALLEY HEALTH PLAN
IA
01
—
5682027
FIRST HEALTH
IA
01
—
720911046506
PREFERRED ONE
IA
01
—
9236800
DAKOTACARE
IA
01
—
H53025
COVENTRY HEALTH CARE
IA
Enumeration date
03/28/2006
Last updated
08/07/2024
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