Individual
MR. BRYAN W. RAUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP-C, MSN
Contact information
Practice address
25950 DIXIE HWY STE 400, PERRYSBURG, OH 43551-2983
(567) 585-0010
(567) 225-3490
Mailing address
25950 DIXIE HWY STE 400, PERRYSBURG, OH 43551-2983
(567) 585-0010
(567) 225-3490
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN.CNP.16719
OH
363LC0200X
Critical Care Medicine Nurse Practitioner
COA.16719-NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0115148
—
OH
Enumeration date
12/05/2014
Last updated
11/03/2023
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