Individual
SHANE REUSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7101 JAHNKE RD, RICHMOND, VA 23225-4017
(804) 483-0000
Mailing address
1219 GRUMMAN DR, HENRICO, VA 23229-5431
(540) 308-8031
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0102207117
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/25/2019
Last updated
06/23/2022
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