Individual
DR. MICHAEL THOMAS REEDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
627 25 1/2 RD, GRAND JUNCTION, CO 81505-6401
(970) 242-3535
(970) 623-8599
Mailing address
627 25 1/2 ROAD, GRAND JUNCTION, CO 81505-6401
(970) 242-3535
(970) 623-8599
Taxonomy
Speciality
Code
Description
License number
State
207PS0010X
Sports Medicine (Emergency Medicine) Physician
Primary
35465
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01354653
—
CO
01
—
810676
MEDICARE PTAN
CO
01
—
P00480783
RAILROAD MEDICARE
CO
Enumeration date
06/08/2006
Last updated
09/20/2012
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