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Individual

MR. BRIAN KENNETH RARICK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
300 N 17TH ST, CLARINDA, IA 51632-1510
(712) 542-4221
(712) 542-5393
Mailing address
PO BOX 146, CLARINDA, IA 51632-0146
(712) 542-4221
(712) 542-5393

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
00478
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
04758
WELLMARK BCBS
IA
05
1273680
IA
05
42137486900
NE
05
4653266
MI
05
6800510
SD
01
71301659
UNITED HEALTH CARE
IA
Enumeration date
08/26/2005
Last updated
11/20/2007
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