Healthcare Provider Details

I. General information

NPI: 1629278957
Provider Name (Legal Business Name): RACHEL ANNE AMSTERBURG DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/24/2007
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

81 S I 75 BUSINESS LOOP
GRAYLING MI
49738-7405
US

IV. Provider business mailing address

1920 STURGEON VALLEY RD E
VANDERBILT MI
49795-9751
US

V. Phone/Fax

Practice location:
  • Phone: 989-348-7400
  • Fax:
Mailing address:
  • Phone: 989-348-7400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number5101017379
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number5101017379
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: