Individual
JOHN RAUENHORST
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Contact information
Practice address
153 CESAR CHAVEZ ST, SAINT PAUL, MN 55107-2226
(651) 222-1816
(651) 602-7517
Mailing address
1700 W HWY 36 STE 520, ROSEDALE TOWERS, ROSEVILLE, MN 55113
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
22242
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
102994
UCARE
MN
01
—
176L2RA
BCBS
MN
01
—
HP11277
HEALTH PARTNERS
MN
01
—
NA9020597001
PREFERRED ONE
MN
Enumeration date
03/23/2006
Last updated
07/08/2007
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