National Provider Identifier Database

RAECHEL MCKIERNAN
Surgical


Contact Information

RAECHEL MCKIERNAN
259 MACK AVE STE 2590
DETROIT, MI48201-2427
Phone: 313-577-1716
Fax:
Website:
Specialty Taxonomy Code
* Surgical 363AS0400X

* Indicates primary specialty

NPI Profile & details for RAECHEL MCKIERNAN

NPI Number 1497571384
Credentials
Entity Individual
Enumeration date 11/25/2024
Last updated 07/11/2025 - About 11 months ago
Sole proprietor1 No
Identifiers
  • MI License #: 5601013151
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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