Individual
DR. WALTER J. RATSCHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
744 S WEBSTER AVE, GREEN BAY, WI 54301-3505
(920) 433-3500
Mailing address
225 S EXECUTIVE DR, BROOKFIELD, WI 53005-4266
(262) 787-4026
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
37879-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050052752
RAIL ROAD MEDICARE
—
05
—
32258500
—
WI
Enumeration date
12/01/2005
Last updated
02/15/2009
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