Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Daniel Racalla

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1679292668

Daniel Racalla is a Student in an Organized Health Care Education/Training Program in Traverse City, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2022
Specialties on file
2

Practice location Address checks out

2545 Orchard Circle Dr Apt 4
Traverse City, MI 49686-1589
Phone: (989) 858-2410
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601011277 (MI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1679292668
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 24, 2022
Last updated in NPPESSeptember 28, 2022
Certification dateSeptember 28, 2022
Mailing address2545 Orchard Circle Dr Apt 4, Traverse City, MI 49686-1589

Other providers in Traverse City