Provider Demographics
NPI:1407841349
Name:RINDLER, JOAN MARIE (MD)
Entity Type:Individual
Prefix:DR
First Name:JOAN
Middle Name:MARIE
Last Name:RINDLER
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 1:2301 S HURON PKWY
Mailing Address - Street 2:SUITE 2B
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48104-5133
Mailing Address - Country:US
Mailing Address - Phone:734-677-0710
Mailing Address - Fax:734-677-0810
Practice Address - Street 1:2301 S HURON PKWY
Practice Address - Street 2:SUITE 2B
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48104-5133
Practice Address - Country:US
Practice Address - Phone:734-677-0710
Practice Address - Fax:734-677-0810
Is Sole Proprietor?:No
Enumeration Date:2005-09-16
Last Update Date:2010-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301070644207N00000X
OH35064980R207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
0708118841OtherBC/BS
F76879Medicare UPIN
0708118841OtherBC/BS