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NPI Code Detail

MEDICARE: RACHAEL SMITH PA-C

MEDICARE: RACHAEL SMITH PA-C
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
1363AM0700XMedical Physician Assistant5601003129MI
2363A00000XPhysician Assistant5601003129MI

General Provider Information

NPI Number : 1598325177
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHAEL SMITH PA-C
Provider Business Mailing Address
First Line : 6198 EWALT RD
Second Line :
City : IMLAY CITY
State : MI
Zip : 48444-8917
Country : US
Telephone Number : 517-249-2826
Fax Number :
Provider Business Practice Location Address
First Line : 1040 W BRISTOL RD
Second Line :
City : FLINT
State : MI
Zip : 48507-5516
Country : US
Telephone Number : 810-257-3705
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/17/2019
Last Update Date : 01/23/2026

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Directions to “ RACHAEL SMITH PA-C” Practice Location

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