Individual
DR. JULIE B RENO
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
15055 S PLAZA DR, TAYLOR, MI 48180-5202
(734) 287-2666
(734) 287-3864
Mailing address
8700 MIDDLETON CT, GROSSE ILE, MI 48138-1299
(734) 676-2667
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
4301070956
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4341133
—
MI
Enumeration date
03/31/2006
Last updated
07/08/2007
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