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Contact Information

TIMOTHY RAUSCHKE
601 JACOB LN
ANOKA, MN55303
 Phone: 763-587-4205
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for TIMOTHY RAUSCHKE · (Male)

NPI Number 1821547472
Status Active
Credentials
Entity Individual
Enumeration date 09/23/2016
Last updated 09/25/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • MN License # 66332
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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