Individual
DR. JUAN PABLO REYES GENERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2689
(313) 916-2600
Mailing address
1 FORD PL STE 3A, DETROIT, MI 48202-3450
(313) 874-4806
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301513888
MI
207RG0100X
Gastroenterology Physician
Primary
4301513888
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200084886
—
MO
Enumeration date
06/06/2014
Last updated
09/22/2025
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