Healthcare Provider Details

I. General information

NPI: 1902176332
Provider Name (Legal Business Name): MICHAEL F REEH MD CHARTERED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/02/2012
Last Update Date: 01/02/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

104 N WASHINGTON ST
HILLSBORO KS
67063-1614
US

IV. Provider business mailing address

104 N WASHINGTON ST
HILLSBORO KS
67063-1614
US

V. Phone/Fax

Practice location:
  • Phone: 620-947-3100
  • Fax: 620-947-3819
Mailing address:
  • Phone: 620-947-3100
  • Fax: 620-947-3819

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207QG0300X
TaxonomyGeriatric Medicine (Family Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. MICHAEL REEH
Title or Position: OWNER/PRESIDENT
Credential: MD
Phone: 620-947-3100