Provider Demographics
NPI:1982973855
Name:MITCHELL A RINEK MD PC
Entity type:Organization
Organization Name:MITCHELL A RINEK MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:MITCHELL
Authorized Official - Middle Name:A
Authorized Official - Last Name:RINEK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:517-203-3000
Mailing Address - Street 1:1625 RAMBLEWOOD DR
Mailing Address - Street 2:STE 2
Mailing Address - City:EAST LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48823-6367
Mailing Address - Country:US
Mailing Address - Phone:517-203-3000
Mailing Address - Fax:517-203-3003
Practice Address - Street 1:1625 RAMBLEWOOD DR
Practice Address - Street 2:STE 2
Practice Address - City:EAST LANSING
Practice Address - State:MI
Practice Address - Zip Code:48823-6367
Practice Address - Country:US
Practice Address - Phone:517-203-3000
Practice Address - Fax:517-203-3003
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-22
Last Update Date:2012-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIMR037591207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty