Individual
DR. JENNALEE RAUH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
220 S MAIN ST, CELINA, OH 45822-2229
(419) 586-7874
(419) 586-2776
Mailing address
1138 W HIGH ST, LIMA, OH 45805-2725
(419) 225-2726
(419) 228-9909
Taxonomy
Speciality
Code
Description
License number
State
213ER0200X
Radiology Podiatrist
36.003771
OH
213ES0000X
Sports Medicine Podiatrist
36.003771
OH
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
36.003771
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0226865
—
OH
05
—
2348856
—
OH
01
—
CB6624
RAILROAD MEDICARE
OH
01
—
Q00033069
RAILROAD MEDICARE
OH
Enumeration date
05/27/2014
Last updated
03/03/2021
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