Healthcare Provider Details

I. General information

NPI: 1750204178
Provider Name (Legal Business Name): INREACH PRIMARY CARE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/03/2026
Last Update Date: 09/07/2026
Certification Date: 09/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1225 W GRAND RIVER AVE STE 300
HOWELL MI
48843-3970
US

IV. Provider business mailing address

1225 W GRAND RIVER AVE STE 300
HOWELL MI
48843-3970
US

V. Phone/Fax

Practice location:
  • Phone: 810-631-3383
  • Fax: 810-631-0507
Mailing address:
  • Phone: 810-631-3383
  • Fax: 810-631-0507

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: KIM GLOYSTEIN
Title or Position: OWNER
Credential: MD
Phone: 810-631-3383