Individual
MICHELLE MARIE REICOSKY BREWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
42350 GRAND RIVER AVE, NOVI, MI 48375-1838
(248) 697-2942
(248) 436-6628
Mailing address
42350 GRAND RIVER AVE, NOVI, MI 48375-1838
(248) 697-2942
(248) 436-6628
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
5101015782
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5181105
—
MI
Enumeration date
05/09/2007
Last updated
08/26/2022
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