Individual
MICHAEL RICKELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3400 SPRUCE STREET, 4 PENN TOWER, PHILADELPHIA, PA 19104
(215) 662-2468
Mailing address
3400 SPRUCE STREET, 4 PENN TOWER, PHILADELPHIA, PA 19104
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
MD417370
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1009313440001
—
PA
Enumeration date
07/07/2006
Last updated
03/25/2011
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