Healthcare Provider Details

I. General information

NPI: 1083705024
Provider Name (Legal Business Name): MEDICS PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/27/2006
Last Update Date: 06/10/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1131 E M-46
EDMORE MI
48829-0529
US

IV. Provider business mailing address

PO BOX 529
EDMORE MI
48829-0529
US

V. Phone/Fax

Practice location:
  • Phone: 989-427-5070
  • Fax: 989-427-3690
Mailing address:
  • Phone: 989-427-5070
  • Fax: 989-427-3690

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. BRUCE ROBERT REAMES JR.
Title or Position: OWNER/PRESIDENT
Credential: PA C
Phone: 989-427-5070