Individual
DR. REBECCA KATHLEENE MOTLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
20245 W 12 MILE RD STE 120, SOUTHFIELD, MI 48076-6406
(248) 552-1327
(248) 552-1183
Mailing address
20245 W 12 MILE RD STE 120, SOUTHFIELD, MI 48076-6406
(248) 552-1327
(248) 552-1183
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
4301407599
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1102-70-0582
BCBS
MI
01
—
4301407599
STATE LICENSE
MI
05
—
4715780-10
—
MI
Enumeration date
05/28/2006
Last updated
03/07/2023
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