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Individual

DR. JOHN ROBERT RAABE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
420 N JAMES RD, COLUMBUS, OH 43219-1834
(614) 257-5595
Mailing address
1952 CHATFIELD RD, COLUMBUS, OH 43221-3702
(614) 486-8035
(614) 486-8068

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
2002016482
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
060069698
RAILROAD MEDICARE
01
07932005
BC/BS OF ILLINOIS
IL
01
142772
GROUP HEALTH PLAN
MO
01
177043
BC/BS OF MISSOURI
MO
01
2501669
UNITED HEALTHCARE
MO
05
504739707
MO
01
517213
HEALTHLINK
MO
01
A77676
MERCY HEALTH PLAN
MO
Enumeration date
05/23/2005
Last updated
07/21/2022
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