Individual
DANIELLE REKITZKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
745 HIAWATHA CT, LOWELL, IN 46356-1631
(219) 671-8714
Mailing address
745 HIAWATHA CT, LOWELL, IN 46356-1631
(219) 671-8714
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
19-324
IN
Other
Enumeration date
08/27/2019
Last updated
03/22/2021
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