Individual
MICHAEL RASTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
721 AMERICAN AVE STE 501, WAUKESHA, WI 53188-5071
(262) 928-4036
Mailing address
721 AMERICAN AVE STE 501, WAUKESHA, WI 53188-5071
(262) 928-4036
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
39989
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32464600
—
WI
Enumeration date
02/14/2006
Last updated
11/27/2024
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