Kevin M Rak is a Diagnostic Radiology in Portage, Wisconsin. Kevin M Rak practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Kevin M Rak is 1285643957. The last update date is 2007-07-08.
Kevin M Rak's current location address is 2817 New Pinery Rd, Portage, Wisconsin. You can contact this provider via phone number 6087424131 and fax number 6088262710. The mailing address for Kevin M Rak is 2817 New Pinery Rd, Portage, Wisconsin. To know further, please read the information below!
Provider Profile Detail
Provider Name | Kevin M Rak |
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Address | 2817 New Pinery Rd, Portage, Wisconsin |
Phone Number | 6087424131 |
Fax Number | 6088262710 |
Sole Proprietor | N |
Credentials | MD |
NPI Number Detail
NPI Number | 1285643957 |
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Provider Enumeration Date | 2006-08-05 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 2817 New Pinery Rd |
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City | Portage |
State | Wisconsin (WI) |
Post Code | 539019257 |
Phone Number | 6087424131 |
Fax Number | 6088262710 |
Provider's Primary Taxonomy Detail
Speciality | Diagnostic Radiology |
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Taxonomy | 2085R0202X |
Licence No | 36007 |
Definition: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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32117500 | WI | -- |
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What is the unique 10-digit identifier code issued to Kevin M Rak by the Centers for Medicare & Medicaid Services?
The Kevin M Rak has been assigned the NPI (National Provider Identifier) 1285643957 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Kevin M Rak located?
The Kevin M Rak is located at 2817 New Pinery Rd, Portage, WI 539019257.
What is the Kevin M Rak's specialty and taxonomy code?
The Kevin M Rak's specialty is Diagnostic Radiology, and the corresponding taxonomy code is 2085R0202X.
When did Kevin M Rak receive its 1285643957 assignment?
The Kevin M Rak was assigned its 1285643957 on 2006-08-05, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Kevin M Rak most recently updated or revised?
The information pertaining to Kevin M Rak, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.