Individual
JAMES E RAUCHENSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3909 NEW VISION DR, FORT WAYNE, IN 46845-1725
(260) 469-6602
(260) 969-3065
Mailing address
1234 E DUPONT RD, SUITE 3, FORT WAYNE, IN 46825-1545
(260) 373-9700
(260) 458-5664
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
01057754A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200434660
—
IN
Enumeration date
02/15/2006
Last updated
10/16/2012
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