Individual
CHRISTOPHER J RAUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
929 SOUTH GROVE STREET, RIPON, WI 54971-1828
(920) 748-3633
Mailing address
929 SOUTH GROVE STREET, RIPON, WI 54971-1828
(920) 748-3633
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3880
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33688000
—
WI
Enumeration date
11/30/2006
Last updated
07/08/2007
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