Provider Demographics
NPI:1538175260
Name:REINA, NICK J (MD)
Entity type:Individual
Prefix:DR
First Name:NICK
Middle Name:J
Last Name:REINA
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Gender:M
Credentials:MD
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Mailing Address - Street 1:2603 ELECTRIC AVE
Mailing Address - Street 2:SUITE #6
Mailing Address - City:PORT HURON
Mailing Address - State:MI
Mailing Address - Zip Code:48060-6588
Mailing Address - Country:US
Mailing Address - Phone:810-985-1608
Mailing Address - Fax:810-987-3011
Practice Address - Street 1:2603 ELECTRIC AVE
Practice Address - Street 2:SUITE #6
Practice Address - City:PORT HURON
Practice Address - State:MI
Practice Address - Zip Code:48060-6588
Practice Address - Country:US
Practice Address - Phone:810-985-1608
Practice Address - Fax:810-987-3011
Is Sole Proprietor?:No
Enumeration Date:2006-08-01
Last Update Date:2014-02-13
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Provider Licenses
StateLicense IDTaxonomies
MINR048896208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation