Thomas Harrison Raabe OD

NPI 1922200575 - Optometrist - 152W00000X

NPI Details
NPI 1922200575
Gender Male
Enumeration Date 06/05/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
132 EAST GRAND AVE
WISCONSIN RAPIDS WI, 54494, US
Phone (715) 423-0280
Fax
Business Location
132 EAST GRAND AVE
WISCONSIN RAPIDS WI, 54494, US
Phone (715) 423-0280
Fax
Toxanomy
Taxonomy Code 152W00000X
License State Wisconsin
License Number 949
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According to our database, Thomas Harrison Raabe OD NPI is 1922200575, taxonomy code is 152W00000X and license number is 949, license state is located at Wisconsin. Thomas Harrison Raabe OD physically located at 132 East Grand Ave, Wisconsin Rapids WI, 54494. NPI Number Thomas Harrison Raabe OD has the Individual type.

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1922200575 NPI number is provided on an as is basis without warranty of any kind. 1922200575 is maintained by the National Plan & Provider Enumeration System. The contents of Thomas Harrison Raabe OD are for informational purposes only.