| Doctor Name: | MR. MICHAEL JOSEPH RABENER |
| NPI Number: | 1093995748 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PA |
| License Number: | |
| Business Practice Address: | 3458 Neely Rd Mcguire Afb, NJ - 08641 |
| Business Phone Number: | 7722145287 |
| Business Fax Number: | |
| Mailing Address: | 3973 B Homer Ct, MCGUIRE AFB |
| State: | NJ |
| Postal Code: | 086411662 |
| Phone Number: | 7722145287 |
| Fax Number: | |
| NPI Enumeration Date: | 11/10/2007 |
| NPI Last Update Date: | 10/08/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |