Individual
RAVEN GMACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
800 ALGOMA BLVD, OSHKOSH, WI 54901-3551
(920) 917-5773
Mailing address
800 ALGOMA BLVD, OSHKOSH, WI 54901-3551
(920) 917-5773
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2424-39
WI
2255A2300X
Athletic Trainer
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2424-39
DEPARTMENT OF SAFETY AND PROFESSIONAL SERVICES
WI
Enumeration date
10/12/2017
Last updated
06/22/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us