Individual
MATTHEW C. RHEINBOLDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2799 W. GRAND BLVD, HENRY FORD DEPT OF RADIOLOGY, DETROIT, MI 48202-2689
(313) 916-7425
Mailing address
2799 W. GRAND BLVD, HENRY FORD DEPT OF RADIOLOGY, DETROIT, MI 48202-2689
(313) 916-7425
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
085399
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
473171010
—
MI
01
—
700H262300
BLUE CROSS-BLUE CROSS
—
01
—
MR085399
CHAMPUS-CHAMPUS
—
Enumeration date
12/01/2006
Last updated
12/08/2009
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