Individual
ESPRIN REDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
N16088 BALSAM LN, SPALDING, MI 49886
(906) 497-5263
Mailing address
1A CAMBRIDGE DR, GLADSTONE, MI 49837-2469
(906) 497-5263
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
4301063991
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10062108
RAILROAD MEDICARE
—
01
—
32957900
WI MEDICAID GROUP
—
01
—
32958000
WI MEDICAID GROUP
WI
01
—
32958100
WI MEDICAID GROUP
WI
05
—
34500400
—
WI
01
—
382375778005
CHAMPUS GROUP
—
Enumeration date
01/11/2007
Last updated
04/16/2008
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