Individual
DR. RACHEL M GILLESPIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
1200 W 12 MILE RD, MADISON HEIGHTS, MI 48071-4439
(248) 543-0600
(248) 543-0562
Mailing address
3055 HILTON RD STE C, FERNDALE, MI 48220-1096
(248) 965-2927
(248) 965-2912
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
5901400351
MI
213ES0103X
Foot & Ankle Surgery Podiatrist
5901002658
MI
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
23-0264
—
MI
Enumeration date
09/01/2016
Last updated
12/30/2020
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