Provider Demographics
NPI:1639209208
Name:REEMMER, DENNIS (DC)
Entity type:Individual
Prefix:
First Name:DENNIS
Middle Name:
Last Name:REEMMER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36871 UTICA RD
Mailing Address - Street 2:
Mailing Address - City:CLINTON TOWNSHIP
Mailing Address - State:MI
Mailing Address - Zip Code:48036-1681
Mailing Address - Country:US
Mailing Address - Phone:586-263-9986
Mailing Address - Fax:
Practice Address - Street 1:36871 UTICA RD
Practice Address - Street 2:
Practice Address - City:CLINTON TOWNSHIP
Practice Address - State:MI
Practice Address - Zip Code:48036-1681
Practice Address - Country:US
Practice Address - Phone:586-263-9986
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-06
Last Update Date:2009-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIDR005398111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIDR005398OtherLICENSE
MIDR005398OtherLICENSE
MI0E05217Medicare ID - Type Unspecified