Healthcare Provider Details

I. General information

NPI: 1225013709
Provider Name (Legal Business Name): MICHAEL FRANCIS REEH M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/07/2005
Last Update Date: 01/26/2011
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 TaxonomyY
Taxonomy Code207QG0300X
TaxonomyGeriatric Medicine (Family Medicine) Physician
License Number0424958
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: