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Individual

MR. MICHAEL W. RASCH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
C.P.O.

Contact information

Practice address
1691 GALISTEO ST, SUITE B, SANTA FE, NM 87505-4780
(505) 820-2390
(505) 820-2392
Mailing address
1691 GALISTEO STREET, SUITE B, SANTA, FE 87505
(505) 820-2390
(505) 820-2392

Taxonomy

Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
Primary
CPO 1456
DE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
84927054
NM
Enumeration date
10/05/2006
Last updated
04/11/2014
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