Individual
DR. EVAN ALEXANDER RAE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
26908 DETROIT RD, SUITE 201, WESTLAKE, OH 44145-2398
(440) 777-3500
(440) 871-6726
Mailing address
26908 DETROIT RD, SUITE 301, WESTLAKE, OH 44145-2398
(440) 617-1823
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34-010017
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0050259
—
OH
Enumeration date
07/09/2008
Last updated
11/13/2020
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