Individual
REESE JAMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
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
Update your record
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