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Individual

STEVEN RAIBLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6420 DUTCHMANS PKWY, STE. 200, LOUISVILLE, KY 40205-3372
(502) 891-8300
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
24532
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
64245327
KY
Enumeration date
12/15/2005
Last updated
01/21/2021
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