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NPI Code Detail

MEDICARE: BENJAMIN P RECHNER MD PC

MEDICARE: BENJAMIN P RECHNER MD PC
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
12086S0122XPlastic and Reconstructive Surgery Physician4301070249MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1891739363
Entity Type Code : Organization
Provider Name (Legal Business Name) : BENJAMIN P RECHNER MD PC
Provider Business Mailing Address
First Line : 985 PARCHMENT DR SE
Second Line :
City : GRAND RAPIDS
State : MI
Zip : 49546-3659
Country : US
Telephone Number : 616-942-9260
Fax Number : 616-942-1971
Provider Business Practice Location Address
First Line : 985 PARCHMENT DR SE
Second Line :
City : GRAND RAPIDS
State : MI
Zip : 49546-3659
Country : US
Telephone Number : 616-942-9260
Fax Number : 616-942-1971
Authorized Official
Title or Position : PRESIDENT
Name : DR. BENJAMIN P RECHNER
Credential : MD
Telephone Number : 616-942-9260
Provider Enumeration Date : 06/15/2006
Last Update Date : 08/22/2020

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Directions to “BENJAMIN P RECHNER MD PC ” Practice Location

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