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Individual

MR. ROBIN RUSSELL REYE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
SAPA-C

Contact information

Practice address
4228 MT. MORRIS RD, COLUMBIAVILLE, MI 48421
(810) 793-2241
(810) 793-2587
Mailing address
4228 MOUNT MORRIS RD, COLUMBIAVILLE, MI 48421-9373
(810) 793-2241
(810) 793-2587

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5601001893
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
RR001893
BCBS
MI
Enumeration date
06/16/2006
Last updated
05/06/2008
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