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NPI Code Detail

MEDICARE: RACHEL BRISTOW DO

MEDICARE: RACHEL BRISTOW DO
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1346131851
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHEL BRISTOW DO
Provider Business Mailing Address
First Line : 7233 CHESTNUT HILLS DR
Second Line :
City : WHITMORE LAKE
State : MI
Zip : 48189-4202
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3601 W 13 MILE RD
Second Line :
City : ROYAL OAK
State : MI
Zip : 48073-6712
Country : US
Telephone Number : 248-898-5000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/12/2025
Last Update Date : 05/27/2026

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Directions to “ RACHEL BRISTOW DO” Practice Location

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