Individual
JACQUELINE C REITEMEIER-MOHS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
16151 19 MILE RD STE 215, CLINTON TWP, MI 48038-1157
(313) 916-2600
Mailing address
1 FORD PL STE 3A, DETROIT, MI 48202-3450
(313) 874-2892
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301072305
MI
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
4301072305
MI
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
4301072305
MI
Other
Enumeration date
02/07/2006
Last updated
01/16/2025
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