Individual
DR. BRUCE A REICHARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1774 PECK STREET, MUSKEGON, MI 49441-2533
(231) 728-5758
(231) 728-5636
Mailing address
1774 PECK STREET, MUSKEGON, MI 49441-2533
(231) 728-5758
(231) 728-5636
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
4301037583
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1274780
—
MI
Enumeration date
09/27/2006
Last updated
07/29/2009
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