Individual
MR. DEREK JOHN RAUSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
516 MONTGOMERY ST, DECORAH, IA 52101-2720
(563) 382-4770
(563) 382-4785
Mailing address
516 MONTGOMERY ST, DECORAH, IA 52101-2720
(563) 382-4770
(563) 382-4785
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
00312
IA
Other
Enumeration date
04/18/2014
Last updated
04/18/2014
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