Provider Demographics
NPI:1598045411
Name:RIESGRAF, RACHEL JO (MS, CGC)
Entity Type:Individual
Prefix:MRS
First Name:RACHEL
Middle Name:JO
Last Name:RIESGRAF
Suffix:
Gender:F
Credentials:MS, CGC
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:1575 BEAM AVE
Mailing Address - Street 2:HEALTH EAST ST. JOHN'S HOSPITAL
Mailing Address - City:MAPLEWOOD
Mailing Address - State:MN
Mailing Address - Zip Code:55109-1126
Mailing Address - Country:US
Mailing Address - Phone:651-232-7970
Mailing Address - Fax:651-326-7050
Practice Address - Street 1:1575 BEAM AVE
Practice Address - Street 2:HEALTH EAST ST. JOHN'S HOSPITAL
Practice Address - City:MAPLEWOOD
Practice Address - State:MN
Practice Address - Zip Code:55109-1126
Practice Address - Country:US
Practice Address - Phone:651-232-7970
Practice Address - Fax:651-326-7050
Is Sole Proprietor?:No
Enumeration Date:2011-08-23
Last Update Date:2016-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS