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Freddy Reynolds

NPI 1356028252 · on the registry since 2023 · sole proprietor

Practice

Address
13135 Glenfield St
Detroit, MI 48213
Phone
(313) 970-1662
Organisation at this address
Levels Unlimited Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
372500000X
372500000X
Also registered as
343900000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-07-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan