Individual
DR. JOHN J. RACCIATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1400 E 2ND ST, DEFIANCE, OH 43512-2440
(419) 784-1414
Mailing address
1400 E 2ND ST, DEFIANCE, OH 43512-2440
(419) 784-1414
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
35053389
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
626844
—
OH
Enumeration date
11/16/2005
Last updated
03/17/2017
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