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Contact Information

FREDRIC A REYELTS, MD
801 BROADWAY AVE NW STE 105
GRAND RAPIDS, MI49504-4496
 Phone: 616-685-7500
 Fax: 616-785-7511
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Geriatric Psychiatry

2084P0805X 86 Physician/Neuropsychiatry
 

Psychiatry

2084P0800X 26 Physician/Psychiatry
Indicates primary specialty

NPI Profile & details for FREDRIC A REYELTS · (Male)

NPI # 1285687467
Status Active
Credentials MD
Entity Individual
Enumeration date 05/18/2006
Last updated 06/07/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 4301051511
  • MI Medicaid 2995094
  • MI Medicaid 3415813
  • MI Medicaid 4106189
  • MI Medicaid 4155657
  • MI Medicaid 4593050
  • MI Medicaid 4593060
  • MI Medicaid 4878865
Hospital affiliation(s)
  • SAINT MARY'S HEALTH CARE - (Acute Care)
    200 JEFFERSON AVENUE SE
    GRAND RAPIDS, MI 49503
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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