Provider Demographics
NPI:1013732684
Name:WEISENFELD, RACHEL ANN
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:ANN
Last Name:WEISENFELD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35425 MICHIGAN AVE
Mailing Address - Street 2:SUITE 1
Mailing Address - City:WESTLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48186-4818
Mailing Address - Country:US
Mailing Address - Phone:734-467-7600
Mailing Address - Fax:
Practice Address - Street 1:35425 MICHIGAN AVE
Practice Address - Street 2:SUITE 1
Practice Address - City:WESTLAND
Practice Address - State:MI
Practice Address - Zip Code:48186-4818
Practice Address - Country:US
Practice Address - Phone:734-467-7600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-19
Last Update Date:2024-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator