Healthcare Provider Details

I. General information

NPI: 1336575620
Provider Name (Legal Business Name): REBECCA DRESCHER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/19/2013
Last Update Date: 09/19/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

227 E SANILAC RD
SANDUSKY MI
48471-1160
US

IV. Provider business mailing address

15 LINCOLN ST APT 2 EAST
SANDUSKY MI
48471-1319
US

V. Phone/Fax

Practice location:
  • Phone: 810-648-0330
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code247200000X
TaxonomyOther Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: