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NPI Code Detail

MEDICARE: DR. BENJAMIN PARR RECHNER MD

MEDICARE: DR. BENJAMIN PARR RECHNER MD
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
1208200000XPlastic Surgery Physician4301070249MI

General Provider Information

NPI Number : 1215995428
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BENJAMIN PARR RECHNER MD
Provider Business Mailing Address
First Line : 426 MICHIGAN ST NE
Second Line : SUITE 300
City : GRAND RAPIDS
State : MI
Zip : 49503-5609
Country : US
Telephone Number : 616-454-1256
Fax Number : 616-454-0308
Provider Business Practice Location Address
First Line : 426 MICHIGAN ST NE
Second Line : SUITE 300
City : GRAND RAPIDS
State : MI
Zip : 49503-5609
Country : US
Telephone Number : 616-454-1256
Fax Number : 616-454-0308
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/04/2006
Last Update Date : 07/30/2025

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