Brian R Raguse in Green Bay - Physician Assistant
Brian R Raguse - NPI 1316959083
Brian R Raguse is a Physician Assistant in Green Bay, Wisconsin. Brian R Raguse practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Brian R Raguse is 1316959083. The last update date is 2008-09-30.
Brian R Raguse's current location address is 116 Kepler Dr, Green Bay, Wisconsin. You can contact this provider via phone number 9202885555 and fax number 9202885550. The mailing address for Brian R Raguse is 116 Kepler Dr, Green Bay, Wisconsin. To know further, please read the information below!
Provider Profile Detail
Provider Name | Brian R Raguse |
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Address | 116 Kepler Dr, Green Bay, Wisconsin |
Phone Number | 9202885555 |
Fax Number | 9202885550 |
Sole Proprietor | N |
Credentials | PA |
NPI Number Detail
NPI Number | 1316959083 |
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Provider Enumeration Date | 2006-08-12 |
Last Updated Date | 2008-09-30 |
Provider Mailing Address Detail
Address | 116 Kepler Dr |
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City | Green Bay |
State | Wisconsin (WI) |
Post Code | 543088970 |
Phone Number | 9202885555 |
Fax Number | 9202885550 |
Provider's Primary Taxonomy Detail
Speciality | Physician Assistant |
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Taxonomy | 363A00000X |
Licence No | 1663 |
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 |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
41980900 | WI | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Brian R Raguse by the Centers for Medicare & Medicaid Services (CMS)?
The Brian R Raguse has been assigned the NPI (National Provider Identifier) 1316959083. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete physical address where Brian R Raguse is located?
The Brian R Raguse is situated at the following address: 116 Kepler Dr, Green Bay, WI, 543088970.
What is the area of specialization for Brian R Raguse, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Brian R Raguse is Physician Assistant, and the corresponding taxonomy code that categorizes this area of expertise is 363A00000X.
On what date did the Brian R Raguse receive its 1316959083 assignment from the Centers for Medicare & Medicaid Services?
The Brian R Raguse was assigned its 1316959083 by the Centers for Medicare & Medicaid Services on 2006-08-12.
As of what date were the details related to Brian R Raguse most recently updated or revised?
The information pertaining to Brian R Raguse, including its address, specialty, and other relevant details, was last updated or revised on 2008-09-30.