Individual
DR. CHARLES R. RAUCK
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
793 W STATE ST, COLUMBUS, OH 43222-1551
(614) 552-0061
(614) 552-0168
Mailing address
12941 STONECREEK DR, UNIT A, PICKERINGTON, OH 43147-8424
(614) 552-0061
(614) 552-0168
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
35-05-2215R
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
599688
—
OH
Enumeration date
01/23/2006
Last updated
07/08/2007
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