MEDICARE: REAUME INSURANCE AGENCY

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	251X00000X	Supports Brokerage Agency	0360227	MI

General Provider Information

NPI Number	:	1740618883
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REAUME INSURANCE AGENCY

Provider Business Mailing Address
First Line	:	37063 COOPER DR
Second Line	:
City	:	STERLING HEIGHTS
State	:	MI
Zip	:	48312-2123
Country	:	US
Telephone Number	:	586-977-5881
Fax Number	:	866-762-9044

Provider Business Practice Location Address
First Line	:	37063 COOPER DR
Second Line	:
City	:	STERLING HEIGHTS
State	:	MI
Zip	:	48312-2123
Country	:	US
Telephone Number	:	586-977-5881
Fax Number	:	866-762-9044

Authorized Official
Title or Position	:	OWNER
Name	:	ARTHUR C REAUME
Credential	:
Telephone Number	:	586-977-5881

Provider Enumeration Date	:	10/29/2013
Last Update Date	:	10/29/2013

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