Individual
TIMOTHY RAUSCHKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
601 JACOB LN, ANOKA, MN 55303
(763) 587-4205
Mailing address
601 JACOB LN, ANOKA, MN 55303-1776
(763) 587-4205
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
66332
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/23/2016
Last updated
09/25/2019
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