Reba Susan John
Emergency Medicine in Dearborn, MI. Individual provider (NPI-1).
NPI number1194352476
StatusActive
Last updated in NPPESMay 3, 2023
Details
- NPI
- 1194352476
- Entity type
- Individual (NPI-1)
- Name
- Reba Susan John
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 25, 2020
- Certification date
- May 3, 2023
- Last updated
- May 3, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | 4301508880 | MI | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
19401 Hubbard DrDearborn, MI 48126-2641
Phone 313-982-8100
Mailing address
1 Ford Pl Ste 3aDetroit, MI 48202-3450
Other practice locations
2799 W Grand Blvd
Detroit, MI 48202-2608
Detroit, MI 48202-2608
Phone 248-665-1274
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All 47 Emergency Medicine Physician providers in Dearborn · All 7,276 providers in Dearborn
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