Organization
RITA P ECKENRODE MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RITA P ECKENRODE (OWNER)
(734) 973-7203
Entity
Organization
Contact information
Practice address
2301 S HURON PKWY, STE 3C, ANN ARBOR, MI 48104
(734) 973-7204
(734) 973-7204
Mailing address
2301 S HURON PKWY, STE 3C, ANN ARBOR, MI 48104-5133
(734) 973-7203
(734) 973-7204
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1608142061
BCBS
MI
01
—
2393503004
CIGNA
MI
05
—
2941057
—
MI
01
—
C5442
MCARE
MI
Enumeration date
03/21/2007
Last updated
07/21/2022
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