Individual
DR. BRIDGET E REIDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2550 MEADOWBROOK ROAD, BENTON HARBOR, MI 49022-9069
(269) 985-4441
(269) 985-4494
Mailing address
P.O. BOX 458, NILES, MI 49120-0458
(269) 471-7741
(269) 471-1581
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
407192
MI
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
4301407192
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080817663
BCBS
MI
05
—
3103680
—
OH
05
—
4447105
—
MI
01
—
P112580
BCN
MI
Enumeration date
08/28/2005
Last updated
04/06/2011
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