Individual
DOUGLAS RAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1900 WEALTHY ST SE STE 300, GRAND RAPIDS, MI 49506-2969
(616) 774-8345
(616) 774-8350
Mailing address
100 MICHIGAN ST NE, MC845, GRAND RAPIDS, MI 49503-2560
(616) 486-6790
(616) 486-6702
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704266089
MI
363L00000X
Nurse Practitioner
Primary
4704266089
MI
Other
Enumeration date
11/10/2016
Last updated
05/23/2023
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