Ida Rae Pieschl

NPI #1508517491 in Culver, Indiana

Provider Information

NPI Number: 1508517491
Entity Type: Individual
Name: Ida Rae Pieschl
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Jan 12, 2022
Last Updated: Sep 11, 2025

Practice Location

Address: 1300 ACADEMY RD
City: Culver
State: Indiana
ZIP Code: 46511-1234
Phone: (574) 842-7000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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