Individual
ROBERT T RASTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
403 E MADISON ST, SOUTH BEND, IN 46617-2322
(574) 234-0061
(574) 283-1209
Mailing address
403 E MADISON ST, SOUTH BEND, IN 46617-2322
(574) 234-0061
(574) 283-1209
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
01045140
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200103420A
—
IN
Enumeration date
03/03/2006
Last updated
11/02/2009
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