Provider Demographics
NPI:1598184566
Name:PFLEDERER, RACHEL TEAT (MD)
Entity type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:TEAT
Last Name:PFLEDERER
Suffix:
Gender:
Credentials:MD
Other - Prefix:DR
Other - First Name:RACHEL
Other - Middle Name:TEAT
Other - Last Name:PFLEDERER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:801 YORK ST
Mailing Address - Street 2:
Mailing Address - City:MANITOWOC
Mailing Address - State:WI
Mailing Address - Zip Code:54220-4630
Mailing Address - Country:US
Mailing Address - Phone:920-663-9008
Mailing Address - Fax:920-684-1439
Practice Address - Street 1:2900 CAHABA RD
Practice Address - Street 2:
Practice Address - City:MOUNTAIN BRK
Practice Address - State:AL
Practice Address - Zip Code:35223-1937
Practice Address - Country:US
Practice Address - Phone:205-877-9773
Practice Address - Fax:205-877-9775
Is Sole Proprietor?:No
Enumeration Date:2014-04-07
Last Update Date:2025-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALMD.38305207ND0101X, 207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
No207ND0101XAllopathic & Osteopathic PhysiciansDermatologyMOHS-Micrographic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL38305OtherAL MEDICAL LICENSE