Individual
KEITH A REICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
919 MAIN ST STE 201, DYER, IN 46311-3717
(219) 922-3002
(219) 922-3003
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
02001078A
IN
207RR0500X
Rheumatology Physician
Primary
02001078
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100361860A
—
IN
Enumeration date
04/28/2006
Last updated
09/29/2023
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