Individual provider · Type 1 NPI

Reginald J. Eadie, MD

Emergency Medical Services (Emergency Medicine) Physician · Detroit, MI

NPI number 1902866734 Active

Practice location

6071 W Outer Dr
Detroit, MI 48235-2624

Fax (313) 745-1520

Mailing address

6940 Kennesaw Rd
Canton, MI 48187-1283

Specialties and licenses

TaxonomyCodeLicense
Emergency Medical Services (Emergency Medicine) Physician Primary 207PE0004X4301065909 (MI)
General Practice Physician 208D00000X4301065909 (MI)

Emergency Medical Services (Emergency Medicine) Physician: An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.

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About NPI 1902866734

Reginald J. Eadie, MD's National Provider Identifier is 1902866734, issued on Mar 24, 2006. The primary taxonomy on file is Emergency Medical Services (Emergency Medicine) Physician (207PE0004X), and the practice location is in Detroit, MI. The record was last updated on Feb 18, 2009.