Individual
RACHEL REDIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1027 WASHINGTON AVE, DETROIT LAKES, MN 56501-3409
(218) 847-5611
(218) 847-0881
Mailing address
1027 WASHINGTON AVE, DETROIT LAKES, MN 56501-3409
(218) 847-5611
(218) 847-0881
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
5315046233
MI
207P00000X
Emergency Medicine Physician
Primary
56218
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1144571308
—
ND
01
—
5315046233
MICHIGAN STATE LICENSE
—
Enumeration date
09/27/2012
Last updated
09/16/2013
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