Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | 5101016148 | MI |
NPI | 1396969267 |
---|---|
Provider Name | Dr. Raechel Elizabeth Coombs |
First Address | Leslie, MI 49251-9409 |
Second Address | Leslie, MI 49251-9409 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/04/2007 |
Last Update Date | 25/11/2008 |