Provider Demographics
NPI:1215923024
Name:RINDLER & REDDY DERMATOLOGY PC
Entity type:Organization
Organization Name:RINDLER & REDDY DERMATOLOGY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOAN
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:RINDLER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:734-677-0710
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-27
Last Update Date:2010-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
0N86280Medicare ID - Type Unspecified