Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 12818 | SD |
NPI | 1023471026 |
---|---|
Provider Name | Dr. Rachel Lynn Michael |
First Address | Rapid City, SD 57702-8529 |
Second Address | Rapid City, SD 57702-8529 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/03/2016 |
Last Update Date | 25/07/2021 |