Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0000X | Internist - Cardiovascular Disease | 036114561 | IL |
Y | 207RC0001X | Clinical Cardiac Electrophysiologist | 5315052548 | MI |
NPI | 1134377435 |
---|---|
Provider Name | Dr. David K Rhine |
First Address | Saint Joseph, MI 49085-9151 |
Second Address | Saint Joseph, MI 49085-9151 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/08/2008 |
Last Update Date | 24/02/2020 |