Healthcare Provider Details

I. General information

NPI: 1952987430
Provider Name (Legal Business Name): RACHEL MICHELLE WARNER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/23/2021
Last Update Date: 01/02/2026
Certification Date: 01/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2158 COMMONS PKWY
OKEMOS MI
48864-3986
US

IV. Provider business mailing address

912 CENTENNIAL WAY STE 380
LANSING MI
48917-8246
US

V. Phone/Fax

Practice location:
  • Phone: 517-439-6855
  • Fax: 517-349-7158
Mailing address:
  • Phone: 517-321-3668
  • Fax: 517-321-1730

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number5901400570
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: