Healthcare Provider Details

I. General information

NPI: 1639389893
Provider Name (Legal Business Name): JOSEPH ANTHONY RAKOWSKI DO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/23/2007
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

32500 SCHOOLCRAFT RD
LIVONIA MI
48150-4311
US

IV. Provider business mailing address

32500 SCHOOLCRAFT RD
LIVONIA MI
48150-4311
US

V. Phone/Fax

Practice location:
  • Phone: 734-469-4619
  • Fax: 734-469-4897
Mailing address:
  • Phone: 313-600-7870
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VX0201X
TaxonomyGynecologic Oncology Physician
License Number5101016522
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: