Organization
REBELSKY FAMILY PRACTICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MICHELLE S REBELSKY M.D. (PHYSICIAN)
(641) 236-2525
Entity
Organization
Contact information
Practice address
210 4TH AVE, GRINNELL, IA 50112-1898
(641) 236-2525
Mailing address
210 4TH AVE, GRINNELL, IA 50112-1898
(641) 236-2525
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
32130
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0494252
—
IA
01
—
42439
BCBS
—
Enumeration date
07/06/2006
Last updated
11/20/2007
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