Healthcare Provider Details

I. General information

NPI: 1174380489
Provider Name (Legal Business Name): REIS SAVOY DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/04/2024
Last Update Date: 03/13/2024
Certification Date: 03/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

526 W GENESEE ST STE 4
FRANKENMUTH MI
48734-1357
US

IV. Provider business mailing address

526 W GENESEE ST STE 4
FRANKENMUTH MI
48734-1357
US

V. Phone/Fax

Practice location:
  • Phone: 989-652-2577
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number2301401488
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: