Individual
DR. CHARLES ALFRED REID
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
5877 LIVERNOIS RD, SUITE 104, TROY, MI 48098-3100
(248) 828-8300
(248) 828-9460
Mailing address
5877 LIVERNOIS RD, SUITE 104, TROY, MI 48098-3100
(248) 828-8300
(248) 828-9460
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301004874
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
950F352220
BLUECROSS BLUESHIELD OF MICHIGAN
MI
Enumeration date
12/20/2006
Last updated
05/05/2008
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