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Individual

REESE JAMES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
1375 N MAIN ST, LAPEER, MI 48446-1350
(810) 667-5744
(810) 667-5741
Mailing address
PO BOX 32627, DETROIT, MI 48232-0627
(866) 744-1452
(586) 412-4101

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
5101011584
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2839106
MI
05
2839124
MI
01
300063538
RRMC
MI
01
3056329475
BCBS INDIVIDUAL #
MI
01
310D460020
BCBS GROUP PIN
MI
01
CA3518
MEDICARE RR GROUP PIN
MI
Enumeration date
07/11/2006
Last updated
02/06/2013
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