Provider Demographics
NPI:1548421092
Name:REIF, MICHAEL E (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:E
Last Name:REIF
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:13400 N COLTRANE RD
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73013-8223
Mailing Address - Country:US
Mailing Address - Phone:405-478-0770
Mailing Address - Fax:405-478-0110
Practice Address - Street 1:3555 NW 58TH ST
Practice Address - Street 2:STE 800
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73112-4707
Practice Address - Country:US
Practice Address - Phone:405-602-3930
Practice Address - Fax:405-602-3945
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-18
Last Update Date:2008-06-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OK9100208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
OKD35182Medicare UPIN