Individual
MARK N RAKOWSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4110 WARRENSVILLE CENTER RD, BEACHWOOD, OH 44122-7024
(216) 491-6000
Mailing address
PO BOX 74647, CLEVELAND, OH 44194-0730
(440) 879-0081
(440) 879-0084
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
34-006866
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000325760
ANTHEM
OH
05
—
2082197
—
OH
Enumeration date
02/28/2006
Last updated
07/11/2007
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