Individual
DR. CONSTANZE S. RAYHRER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1701 S CREASY LN STE 220, LAFAYETTE, IN 47905-4972
(765) 423-6757
(765) 767-8045
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
01095740A
IN
208600000X
Surgery Physician
G84660
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G846600
—
CA
01
—
G84660
STATE LICENSE
CA
Enumeration date
09/17/2006
Last updated
03/21/2025
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