Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | 4301107104 | MI |
NPI | 1003200650 |
---|---|
Provider Name | Dr. Ryan J. Reece |
First Address | Flint, MI 48503-5902 |
Second Address | Flint, MI 48503-5902 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/03/2015 |
Last Update Date | 08/10/2021 |