Organization
MAGNUM MANAGEMENT INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LARRY HERMAN REID D.O. (PRESIDENT)
(248) 424-9749
Entity
Organization
Contact information
Practice address
17600 W 8 MILE RD, SUITE 7, SOUTHFIELD, MI 48075-4305
(248) 424-9749
Mailing address
17600 WEST EIGHT MILE RD, SUITE 7, SOUTHFIELD, MI 48075-4316
(248) 424-9749
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
5101007121
MI
Other
Enumeration date
06/13/2014
Last updated
06/13/2014
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