Organization
RICHARD A RAABE DPM INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD RAABE D.P.M. (OWNER)
(330) 477-6265
Entity
Organization
Contact information
Practice address
128 WERTZ AVE NW STE A, CANTON, OH 44708
(330) 477-6265
(330) 477-6306
Mailing address
128 WERTZ AVE NW STE A, CANTON, OH 44708-4196
(330) 477-6265
(330) 477-6306
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
1714
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0281716
—
OH
01
—
0785960001
PTAN
OH
Enumeration date
08/14/2008
Last updated
06/29/2018
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