| Ra2 Pc | |
|
81 S I 75 Business Loop Grayling MI 49738-7405 | |
| (989) 348-7400 | |
| Not Available |
| Full Name | Ra2 Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 81 S I 75 Business Loop, Grayling, Michigan |
| Authorized Official Name and Position | Rachel Anne Amsterburg (EMERGENCY MEDICINE PHYSICIAN) |
| Authorized Official Contact | 9125329907 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ra2 Pc 1920 Sturgeon Valley Rd E Vanderbilt MI 49795-9751 Ph: (912) 532-9907 | Ra2 Pc 81 S I 75 Business Loop Grayling MI 49738-7405 Ph: (989) 348-7400 |
| NPI Number | 1063233492 |
|---|---|
| Provider Enumeration Date | 10/18/2024 |
| Last Update Date | 01/27/2025 |
| Medicare PECOS PAC ID | 0042740847 |
|---|---|
| Medicare Enrollment ID | O20250210000806 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063233492 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Rachel Anne Amsterburg |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1629278957 PECOS PAC ID: 4082770060 Enrollment ID: I20090226000266 |
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