Individual
DR. FRED W RASCHKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
304 S WESTERN AVE, WAUPACA, WI 54981-5703
(715) 258-8211
(715) 258-0118
Mailing address
304 S WESTERN AVE, WAUPACA, WI 54981-5703
(715) 258-8211
(715) 258-0118
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1788012
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1750382537
NPI # TYPE 2
—
01
—
343707
EIN #
WI
01
—
350045133
RAILROAD MEDICARE
—
05
—
38777200
—
WI
Enumeration date
01/18/2007
Last updated
07/10/2024
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