Organization
PAMELA L REAVES MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LABRETTA D QUICK (BILLING MANAGER)
(313) 864-3000
Entity
Organization
Contact information
Practice address
20176 LIVERNOIS AVE, SUITE 101, DETROIT, MI 48221-1346
(313) 927-0000
Mailing address
20176 LIVERNOIS AVE, SUITE 101, DETROIT, MI 48221-1346
(313) 927-0000
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
PR056648
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104438026
—
MI
Enumeration date
05/06/2008
Last updated
05/06/2008
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