Individual
DR. NEL RAINIER GO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
416 CONNABLE AVE, PETOSKEY, MI 49770-2212
(231) 487-4289
Mailing address
PO BOX 5617, SAGINAW, MI 48603-0617
(989) 401-4245
(989) 401-4235
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
43010108641
MI
2085R0202X
Diagnostic Radiology Physician
60798
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0240057
BCBS IND PIN
MI
01
—
0B41005
BCBS GROUP
MI
01
—
60798
STATE LICENSE
CT
Enumeration date
06/07/2009
Last updated
04/17/2026
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