Individual
MR. ANDREW L RATHJEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
3213 W NORTH FRONT ST, GRAND ISLAND, NE 68803-4026
(308) 381-2424
(308) 381-3646
Mailing address
3213 W NORTH FRONT ST, GRAND ISLAND, NE 68803-4026
(308) 381-2424
(308) 381-3646
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1360
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025243900
—
NE
Enumeration date
06/30/2006
Last updated
03/02/2017
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