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Individual

DR. GLENN ANDREW RAUSCHER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
(757) 953-0669
Mailing address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
0102207979
VA
2085R0202X
Diagnostic Radiology Physician
Primary
20A15774
CA
2085R0202X
Diagnostic Radiology Physician
25MB12700100
NJ
2085R0202X
Diagnostic Radiology Physician
34.016514
OH

Other

Enumeration date
01/11/2016
Last updated
05/07/2026
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