| Dawn N Reynolds Md Pc | |
|
26677 W 12 Mile Rd # 159 Southfield MI 48034-1514 | |
| (248) 358-6959 | |
| (248) 358-6901 |
| Full Name | Dawn N Reynolds Md Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 26677 W 12 Mile Rd # 159, Southfield, Michigan |
| Authorized Official Name and Position | Dawn Nadine Reynolds (MANAGING PARTNER) |
| Authorized Official Contact | 3134438862 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dawn N Reynolds Md Pc 26677 W 12 Mile Rd # 159 Southfield MI 48034-1514 Ph: (248) 358-6959 | Dawn N Reynolds Md Pc 26677 W 12 Mile Rd # 159 Southfield MI 48034-1514 Ph: (248) 358-6959 |
| NPI Number | 1275956328 |
|---|---|
| Provider Enumeration Date | 01/27/2014 |
| Last Update Date | 06/28/2025 |
| Certification Date | 06/28/2025 |
| Medicare PECOS PAC ID | 0648401109 |
|---|---|
| Medicare Enrollment ID | O20140326000408 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275956328 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Dawn N Reynolds |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1073711040 PECOS PAC ID: 0143455154 Enrollment ID: I20131029001448 |
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