Provider Demographics
NPI:1669427753
Name:RECHNER, PAULA M (MD)
Entity type:Individual
Prefix:DR
First Name:PAULA
Middle Name:M
Last Name:RECHNER
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:333 MAGAZINE ST
Mailing Address - Street 2:STE #101
Mailing Address - City:SAULT SAINTE MARIE
Mailing Address - State:MI
Mailing Address - Zip Code:49783-1867
Mailing Address - Country:US
Mailing Address - Phone:906-253-9770
Mailing Address - Fax:906-253-9772
Practice Address - Street 1:333 MAGAZINE ST
Practice Address - Street 2:STE #101
Practice Address - City:SAULT SAINTE MARIE
Practice Address - State:MI
Practice Address - Zip Code:49783-1867
Practice Address - Country:US
Practice Address - Phone:906-253-9770
Practice Address - Fax:906-253-9772
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-24
Last Update Date:2024-11-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4301077090174400000X, 208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0201701371OtherBLUE CROSS BLUE SHIELD
MI4842497Medicaid
MIH25625Medicare UPIN
MIN83810001Medicare PIN