Individual
MARK RICHARD RANGITSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2301 HOUSE AVE, SUITE 505, CHEYENNE, WY 82001-3179
(307) 632-9261
(307) 634-9170
Mailing address
2301 HOUSE AVE, SUITE 505, CHEYENNE, WY 82001-3179
(307) 632-9261
(307) 634-9170
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
5525A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
109751200
—
WY
01
—
200020236
RAILROAD MEDICARE
—
01
—
303686
BLUE CROSS BLUE SHIELD
WY
01
—
82001A003
TRICARE
WY
Enumeration date
09/13/2005
Last updated
02/19/2009
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