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Individual

MRS. LISA REUTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
2040 MONROE ST STE 207, DEARBORN, MI 48124-2950
(517) 410-7297
Mailing address
17000 EXECUTIVE PLAZA DR, STE 202, DEARBORN, MI 48126-2793

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
L1828816
MI

Other

Enumeration date
08/10/2010
Last updated
03/13/2017
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