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NPI Code Detail

MEDICARE: EMILY RACHAL

MEDICARE: EMILY RACHAL
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
1363L00000XNurse Practitioner4704234916MI

General Provider Information

NPI Number : 1306089735
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILY RACHAL
Provider Business Mailing Address
First Line : 34841 VETERANS PLZ STE 1
Second Line :
City : WAYNE
State : MI
Zip : 48184-1733
Country : US
Telephone Number : 313-292-7640
Fax Number :
Provider Business Practice Location Address
First Line : 34841 VETERANS PLZ STE 1
Second Line :
City : WAYNE
State : MI
Zip : 48184-1733
Country : US
Telephone Number : 313-292-7640
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/15/2009
Last Update Date : 11/11/2021

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Directions to “ EMILY RACHAL ” Practice Location

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