Individual
JASON C RAKITA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3200 E RACINE ST, JANESVILLE, WI 53546-2343
(608) 371-8000
(608) 371-8943
Mailing address
3200 E RACINE ST, JANESVILLE, WI 53546-2343
(608) 371-8000
(608) 371-8943
Taxonomy
Speciality
Code
Description
License number
State
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
75804-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1770929341
—
WI
Enumeration date
05/22/2013
Last updated
09/21/2021
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