Individual
RACHELLE MIKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
6071 W OUTER DR, DETROIT, MI 48235-2624
(313) 966-3223
Mailing address
302 N WASHINGTON AVE, ROYAL OAK, MI 48067-1753
(734) 891-8584
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
5101020001
MI
Other
Enumeration date
07/17/2012
Last updated
07/17/2012
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