Individual
ALEXANDRA REEDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4100 EMBASSY DR SE STE 400, GRAND RAPIDS, MI 49546-2416
(616) 988-8220
Mailing address
17800 112TH AVE, NUNICA, MI 49448-9406
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601011972
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/22/2022
Last updated
10/27/2023
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