Individual
MR. BRUCE ROBERT REAMES JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1131 E HOWARD CITY EDMORE RD, EDMORE, MI 48829-9737
(989) 427-5070
(989) 427-3690
Mailing address
4500 W HOWARD CITY EDMORE RD, SIX LAKES, MI 48886-9739
(989) 814-0627
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601001291
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102970
—
MI
Enumeration date
10/13/2006
Last updated
07/09/2007
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