Provider Demographics
NPI:1982613642
Name:RINKE, ALLAN RICHARD JR (MD)
Entity Type:Individual
Prefix:DR
First Name:ALLAN
Middle Name:RICHARD
Last Name:RINKE
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1376 S LAPEER RD STE A
Mailing Address - Street 2:
Mailing Address - City:LAKE ORION
Mailing Address - State:MI
Mailing Address - Zip Code:48360-1435
Mailing Address - Country:US
Mailing Address - Phone:248-693-3380
Mailing Address - Fax:248-693-0910
Practice Address - Street 1:1376 S LAPEER RD STE A
Practice Address - Street 2:
Practice Address - City:LAKE ORION
Practice Address - State:MI
Practice Address - Zip Code:48360-1435
Practice Address - Country:US
Practice Address - Phone:248-693-3380
Practice Address - Fax:248-693-0910
Is Sole Proprietor?:No
Enumeration Date:2006-08-05
Last Update Date:2023-11-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI4301080252207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI104937821Medicaid
MI104937821Medicaid
MI0P30630855Medicare PIN
MI0N87010Medicare PIN