Individual
DR. KATRINA CISARUK RAKOWSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
4100 WARRENSVILLE CENTER ROAD, SUITE 102, WARRENSVILLE HEIGHTS, OH 44122-7099
(216) 491-7362
(216) 491-6587
Mailing address
4100 WARRENSVILLE CENTER ROAD, SUITE 102, WARRENSVILLE HEIGHTS, OH 44122-7099
(216) 491-7362
(216) 491-6587
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
34007101
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000147311
ANTHEM BCBS
OH
05
—
2195075
—
OH
Enumeration date
09/20/2006
Last updated
10/30/2014
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