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NPI Code Detail

MEDICARE: ANDREW RUMMEL, PLLC

MEDICARE: ANDREW RUMMEL, PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223X0400XOrthodontics and Dentofacial Orthopedics Dentistry2901019920MI

General Provider Information

NPI Number : 1659678803
Entity Type Code : Organization
Provider Name (Legal Business Name) : ANDREW RUMMEL, PLLC
Provider Business Mailing Address
First Line : 300 N LAKE ST
Second Line :
City : CADILLAC
State : MI
Zip : 49601-1846
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 300 N LAKE ST
Second Line :
City : CADILLAC
State : MI
Zip : 49601-1846
Country : US
Telephone Number : 231-775-6597
Fax Number :
Authorized Official
Title or Position : MEMBER
Name : ANDREW RUMMEL
Credential :
Telephone Number : 231-775-6597
Provider Enumeration Date : 02/24/2011
Last Update Date : 02/24/2011

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