Individual
MARC RASANSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1020 N 12TH ST,, AURORA HEALTH CARE CENTER FOR SENIOR HEALTH & LONGEVITY, MILWAUKEE, WI 53201-0342
(414) 219-7300
(414) 219-7632
Mailing address
1020 N 12TH ST, AURORA HEALTH CARE CENTER FOR SENIOR HEALTH & LONGEVITY, MILWAUKEE, WI 53233-1308
(414) 219-7300
(414) 219-7632
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
22913-20
WI
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
22913
WI
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
22913-20
WI
207RP1001X
Pulmonary Disease Physician
22913
WI
207RP1001X
Pulmonary Disease Physician
22913-20
WI
207RS0012X
Sleep Medicine (Internal Medicine) Physician
22913
WI
207RS0012X
Sleep Medicine (Internal Medicine) Physician
22913-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1548231129
—
WI
Enumeration date
01/31/2006
Last updated
12/07/2021
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