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Contact Information

STEWART REYNOLDS
1475 E. OUTER DRIVE
DETROIT, MI48205
 Phone: 313-371-0055
 Fax: 313-371-1409
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for STEWART REYNOLDS · (Male)

NPI # 1639372717
Status Active
Credentials
Entity Individual
Enumeration date 06/07/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s) Not Available
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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