Michaela Elise Rickert, RD, PA-C

NPI #1952686057 in Glen Ellyn, Illinois

Provider Information

NPI Number: 1952686057
Entity Type: Individual
Name: Michaela Elise Rickert, RD, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: RD, PA-C
Enumeration Date: Oct 20, 2011
Last Updated: Sep 14, 2018

Practice Location

Address: 430 PENNSYLVANIA AVE # 320
City: Glen Ellyn
State: Illinois
ZIP Code: 60137-4464
Phone: (630) 668-2180

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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