Individual
STEWART REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1475 E. OUTER DRIVE, DETROIT, MI 48205
(313) 371-0055
(313) 371-1409
Mailing address
13135 GLENFIELD ST, DETROIT, MI 48213-1486
(313) 839-2479
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
06/07/2007
Last updated
07/08/2007
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