Mrs Misty Dawn Rederstorf, is a
Registered Nurse based in Whitehall, Michigan. Mrs Misty Dawn Rederstorf is licensed to practice in Michigan (license number 4704376194) and her current practice location is
5070 Duck Lake Rd, Whitehall, Michigan. She can be reached at her office (for appointments etc.) via phone at
(317) 417-5508.
NPI number for Mrs Misty Dawn Rederstorf is 1326913203 and her current mailing address is 5070 Duck Lake Rd, Whitehall, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1326913203.
Provider's Profile
Full Name | Mrs Misty Dawn Rederstorf |
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Gender | Female |
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Speciality | Registered Nurse |
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Location | 5070 Duck Lake Rd, Whitehall, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1326913203
- Provider Enumeration Date: 10/09/2025
- Last Update Date: 10/09/2025
Medical Identifiers
Medical identifiers for Mrs Misty Dawn Rederstorf such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1326913203 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | 4704376194 (Michigan) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Misty Dawn Rederstorf is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Misty Dawn Rederstorf, 5070 Duck Lake Rd, Whitehall, MI 49461-9723 Ph: (317) 417-5508 | Mrs Misty Dawn Rederstorf, 5070 Duck Lake Rd, Whitehall, MI 49461-9723 Ph: (317) 417-5508 |
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