Individual
THOMAS PAUL RAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
415 E HOME RD, SPRINGFIELD, OH 45503-2708
(937) 399-9997
(937) 399-5633
Mailing address
415 E HOME RD, SPRINGFIELD, OH 45503-2708
(937) 399-9997
(937) 399-5633
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
35-069331R
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0207029
—
OH
Enumeration date
11/02/2005
Last updated
12/17/2019
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