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Individual

DR. MARC ANTHONY RASLICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
725 UNIVERSITY BLVD, DAYTON, OH 45435-0001
(937) 560-2273
Mailing address
725 UNIVERSITY BLVD, DAYTON, OH 45435-0001
(937) 245-7100
(937) 245-7999

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35-079953
OH
208000000X
Pediatrics Physician
Primary
35-079953
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2264517
OH
Enumeration date
06/07/2006
Last updated
10/16/2023
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