Individual
RACHEL ANNE MARINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
311 MACK AVE # 61100, DETROIT, MI 48201-2466
(248) 246-6468
(248) 294-1427
Mailing address
14682 FORDLINE ST, SOUTHGATE, MI 48195-2549
(734) 819-3699
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
Primary
5601012715
MI
Other
Enumeration date
04/23/2024
Last updated
01/19/2025
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