MEDICARE: DR. MICHELE REID M.D.

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
1	2084P0800X	Psychiatry Physician	4301043830	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1730171380
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHELE REID M.D.

Provider Business Mailing Address
First Line	:	38855 HILLS TECH DR
Second Line	:	SUITE 200
City	:	FARMINGTON HILLS
State	:	MI
Zip	:	48331-3421
Country	:	US
Telephone Number	:	248-745-4900
Fax Number	:	248-994-4626

Provider Business Practice Location Address
First Line	:	38855 HILLS TECH DR
Second Line	:	SUITE 200
City	:	FARMINGTON HILLS
State	:	MI
Zip	:	48331-3421
Country	:	US
Telephone Number	:	249-745-4900
Fax Number	:	248-994-4626

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/19/2005
Last Update Date	:	08/26/2024

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