Individual
DR. TRACI A RAUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2620 W FAIDLEY AVE, GRAND ISLAND, NE 68803-4205
(308) 390-1715
Mailing address
2620 W FAIDLEY AVE, GRAND ISLAND, NE 68803-4205
(308) 390-1715
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
21967
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D08559
BLUE CROSS
NE
01
—
P00231270
RAILROAD
NE
Enumeration date
02/20/2006
Last updated
10/02/2014
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