Provider Demographics
NPI:1225112279
Name:BIEDENBACH, RACHEL A (MD)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:A
Last Name:BIEDENBACH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1197 HIGH ST STE 106
Mailing Address - Street 2:
Mailing Address - City:WADSWORTH
Mailing Address - State:OH
Mailing Address - Zip Code:44281-8282
Mailing Address - Country:US
Mailing Address - Phone:330-247-2480
Mailing Address - Fax:330-336-0099
Practice Address - Street 1:1197 HIGH ST STE 106
Practice Address - Street 2:
Practice Address - City:WADSWORTH
Practice Address - State:OH
Practice Address - Zip Code:44281-8282
Practice Address - Country:US
Practice Address - Phone:330-247-2480
Practice Address - Fax:330-336-0099
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-25
Last Update Date:2021-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.085999207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology