Individual
DR. RACHAEL MARIE EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3264 N EVERGREEN DR NE, GRAND RAPIDS, MI 49525-9746
(616) 363-7272
(616) 361-5828
Mailing address
3264 N EVERGREEN DR NE, GRAND RAPIDS, MI 49525-9746
(616) 363-7272
(616) 361-5828
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
4301505952
MI
2085R0202X
Diagnostic Radiology Physician
MD189604
OR
2085R0202X
Diagnostic Radiology Physician
Primary
MD485081
PA
2085R0202X
Diagnostic Radiology Physician
MD60461707
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0389410
LNI-TRA REST OF WA
WA
01
—
0389412
LNI-TRA KING COUNTY
WA
01
—
0389413
LNI-UAOM
WA
01
—
0389414
LNI-DINW
WA
05
—
1073837035
—
WA
05
—
2019283
—
WA
Enumeration date
03/19/2010
Last updated
08/08/2024
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