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Individual

CHRISTOPHER RAASCH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
700 N LAKE AVE, TWIN LAKES, WI 53181-9436
(262) 877-2124
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(262) 877-2124

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
9252
WI
363LF0000X
Family Nurse Practitioner
209013762
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100233663
WI
Enumeration date
02/05/2016
Last updated
08/29/2024
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