Individual
AMY RENEE REUTHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1131 ATLANTA DR, LAKE ORION, MI 48359-1180
(586) 549-1679
Mailing address
1131 ATLANTA DR, LAKE ORION, MI 48359-1180
(586) 549-1679
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704288224
MI
Other
Enumeration date
04/15/2019
Last updated
04/15/2019
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