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NPI Code Detail

MEDICARE: MICHAEL R REITZ DO

MEDICARE:   MICHAEL R REITZ  DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208M00000XHospitalist Physician3414AZ
2208M00000XHospitalist Physician0102204842VA
3207R00000XInternal Medicine Physician3414AZ
4207R00000XInternal Medicine Physician0102204842VA

General Provider Information

NPI Number : 1205827425
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL R REITZ DO
Provider Business Mailing Address
First Line : 2300 OPITZ BLVD STE G-209
Second Line :
City : WOODBRIDGE
State : VA
Zip : 22191-3311
Country : US
Telephone Number : 703-523-0611
Fax Number : 703-670-2089
Provider Business Practice Location Address
First Line : 2300 OPITZ BLVD STE G-209
Second Line :
City : WOODBRIDGE
State : VA
Zip : 22191-3311
Country : US
Telephone Number : 703-523-0611
Fax Number : 703-670-2089
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/04/2005
Last Update Date : 12/19/2019

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Directions to “ MICHAEL R REITZ DO” Practice Location

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