# DAVID J RATHE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1316926082
- **Gender:** Man
- **Credential:** DO

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 02383 | IA | Yes |
| 2080S0010X | Pediatric Sports Medicine Physician | 02383 | IA | — |

## Other

- **Enumeration date:** 01/11/2006
- **Last updated:** 05/16/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1080994 | — | IA |
| 01 | — | 110126474 | RR MEDICARE | IA |
| 05 | — | 1316926082 | — | IA |