Provider Demographics
NPI:1386641769
Name:REESE, DALINDA BERK (MD)
Entity Type:Individual
Prefix:DR
First Name:DALINDA
Middle Name:BERK
Last Name:REESE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3131 PROFESSIONAL DR
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48104-5128
Mailing Address - Country:US
Mailing Address - Phone:734-995-3200
Mailing Address - Fax:
Practice Address - Street 1:3131 PROFESSIONAL DR
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48104-5128
Practice Address - Country:US
Practice Address - Phone:734-995-3200
Practice Address - Fax:734-995-4254
Is Sole Proprietor?:No
Enumeration Date:2005-06-30
Last Update Date:2012-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101034696207L00000X
MI4301091374207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology