Individual
PHILLIP N RAUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
606 24TH AVENUE SOUTH, SUITE 400, MATERNAL-FETAL MEDICINE CENTER, MINNEAPOLIS, MN 55454
(612) 273-2223
Mailing address
420 DELAWARE STREET SE, UNIVERSITY OF MINNESOTA PHYSICIANS, MINNEAPOLIS, MN 55455
(612) 273-2223
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
45471
MN
207VM0101X
Maternal & Fetal Medicine Physician
Primary
45471
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0059942
—
MT
01
—
07-02800
MEDICA PRIMARY
MN
01
—
07-03291
MEDICA CHOICE
MN
01
—
1033735
PREFERRED ONE
MN
05
—
155188400
—
MN
01
—
171377
UCARE
MN
01
—
1835197
ARAZ
MN
01
—
514A8RA
BLUE CROSS BLUE SHIELD
MN
01
—
HP40484
HEALTH PARNTERS
MN
Enumeration date
10/24/2006
Last updated
10/26/2012
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