Basic Information
Provider Information
NPI: 1407018666
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: RHEE
FirstName: MICHAEL
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 324
Address2:  
City: DANVILLE
State: CA
PostalCode: 945260324
CountryCode: US
TelephoneNumber: 9258204335
FaxNumber: 9258207996
Practice Location
Address1: 250 E HAMPDEN RD
Address2:  
City: MIDDLETOWN
State: DE
PostalCode: 197095303
CountryCode: US
TelephoneNumber: 3024643400
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/30/2008
LastUpdateDate: 10/25/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 10/22/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208100000X25MA08569900NJN Allopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation 
208100000XMD443429PAY Allopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation 

No ID Information.


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