Most Relevant Information
Provider Data
NPI Number: | 1003344805 |
Provider Name: | RACHELLE NOEL WRIGHT PA-C |
Entity Type: | Individual |
Taxonomy Code: | 363A00000X |
Specialty: | Physician Assistant |
License Number: | 5601008209 |
Most Important Dates
Enumeration Date: | 05/24/2017 |
Last Updated: | 03/10/2021 |
Provider Practice Location
2799 W GRAND BLVD
DETROIT
MI
482022608
Practice Location Phone/Fax
Phone: | 3139162600 |
Fax: |
Provider Mailing Location
2800 W GRAND BLVD
DETROIT
MI
482022610
Provider Mailing Phone/Fax
Phone: | 5865573624 |
Fax: |