Individual
STEPHEN MICHAEL RAUH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
125 LATTIMORE RD, SUITE 270, ROCHESTER, NY 14620-4159
(585) 244-5670
(585) 244-4298
Mailing address
125 LATTIMORE RD, SUITE 270, ROCHESTER, NY 14620-4159
(585) 244-5670
(585) 244-4298
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
155502
NY
208C00000X
Colon & Rectal Surgery Physician
Primary
155502
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01074184
—
NY
01
—
4655696
AETNA
NY
01
—
MD455F
PREFERRED CARE
NY
01
—
P010155501
BLUES
NY
Enumeration date
03/28/2006
Last updated
01/29/2014
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