Mcreynolds, Ann R

Mcreynolds, Ann R is an individual health care provider with primary practice located at 21000 E 12 Mile Rd 102, St Clair Shores MI 48081-1116. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Mcreynolds, Ann R can be contacted via phone (586) 447-5100.

Contact Information

Primary practice address
21000 E 12 Mile Rd 102 St Clair Shores MI 48081-1116
Fax: (586) 447-5090
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 4301056154 Michigan

Profile Details

NPI number 1114917077
LBN Legal business name Mcreynolds, Ann R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2005
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114917077 NPPES
Michigan MEDICAID 4169017

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