Healthcare Provider Details

I. General information

NPI: 1609003664
Provider Name (Legal Business Name): LAURA K REESE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LAURA KRAUSE MD

II. Dates (important events)

Enumeration Date: 06/17/2009
Last Update Date: 08/17/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5401 MCAULEY DRIVE
YPSILANTI MI
48197
US

IV. Provider business mailing address

24 FRANK LLOYD WRIGHT DRIVE SUITE J2000
ANN ARBOR MI
48105
US

V. Phone/Fax

Practice location:
  • Phone: 734-786-2300
  • Fax: 734-786-4915
Mailing address:
  • Phone: 734-747-6766
  • Fax: 734-222-3100

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number4301094329
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: