# REBELSKY FAMILY PRACTICE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689605768
- **Authorized official:** MS. MICHELLE S REBELSKY M.D. (PHYSICIAN)
- **Authorized official phone:** (641) 236-2525

## Contact information

- **Practice address:** 210 4TH AVE, GRINNELL, IA 50112-1898
- **Practice address phone:** (641) 236-2525
- **Mailing address:** 210 4TH AVE, GRINNELL, IA 50112-1898
- **Mailing address phone:** (641) 236-2525

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 32130 | IA | Yes |

## Other

- **Enumeration date:** 07/06/2006
- **Last updated:** 11/20/2007