Michael Allan Raethka in Festus - Physician Assistant
Michael Allan Raethka - NPI 1033109392
Michael Allan Raethka is a Physician Assistant in Festus, Missouri. Michael Allan Raethka practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Michael Allan Raethka is 1033109392. The last update date is 2023-08-30.
Michael Allan Raethka's current location address is 1390 Us Highway 61 Ste N1500, Festus, Missouri. You can contact this provider via phone number 6369338050. The mailing address for Michael Allan Raethka is 1390 Us Highway 61 Ste N1500, Festus, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael Allan Raethka |
|---|---|
| Address | 1390 Us Highway 61 Ste N1500, Festus, Missouri |
| Phone Number | 6369338050 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1033109392 |
|---|---|
| Provider Enumeration Date | 2005-10-26 |
| Last Updated Date | 2023-08-30 |
Provider Mailing Address Detail
| Address | 1390 Us Highway 61 Ste N1500 |
|---|---|
| City | Festus |
| State | Missouri (MO) |
| Post Code | 630284137 |
| Phone Number | 6369338050 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 2015021866 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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What is the unique 10-digit identifier code assigned to Michael Allan Raethka by the Centers for Medicare & Medicaid Services?
The Michael Allan Raethka has been issued the NPI (National Provider Identifier) 1033109392 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Michael Allan Raethka located?
The Michael Allan Raethka is located at 1390 Us Highway 61 Ste N1500, Festus, MO 630284137.
What is the Michael Allan Raethka's specialty and taxonomy code?
The Michael Allan Raethka's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1033109392 to Michael Allan Raethka?
The Centers for Medicare & Medicaid Services originally issued the 1033109392 to Michael Allan Raethka on 2005-10-26.
When was the information related to Michael Allan Raethka most recently updated or refreshed?
The details pertaining to the Michael Allan Raethka, including its address, specialty, and other relevant information, were last updated or refreshed on 2023-08-30.
NPI Number: 1730182858
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