Individual
DAVID J RATHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
312 9TH ST SW, SUITE 1200, WAVERLY, IA 50677-2929
(319) 352-4340
(319) 352-0745
Mailing address
312 9TH ST SW, SUITE 1200, WAVERLY, IA 50677-2929
(319) 352-4340
(319) 352-0745
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
02383
IA
2080S0010X
Pediatric Sports Medicine Physician
02383
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1080994
—
IA
01
—
110126474
RR MEDICARE
IA
05
—
1316926082
—
IA
Enumeration date
01/11/2006
Last updated
05/16/2012
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