| Rasch Orthodontics | |
|
N35w23770 Capitol Dr Ste B Pewaukee WI 53072-2639 | |
| (262) 956-6000 | |
| (262) 691-2572 |
| Full Name | Rasch Orthodontics |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | N35w23770 Capitol Dr Ste B, Pewaukee, Wisconsin |
| Authorized Official Name and Position | Todd Walter Rasch (OWNER) |
| Authorized Official Contact | 2629566000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rasch Orthodontics N35w23770 Capitol Dr Ste B Pewaukee WI 53072-2639 Ph: (262) 956-6000 | Rasch Orthodontics N35w23770 Capitol Dr Ste B Pewaukee WI 53072-2639 Ph: (262) 956-6000 |
| NPI Number | 1932420718 |
|---|---|
| Provider Enumeration Date | 06/16/2010 |
| Last Update Date | 06/16/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932420718 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 6251-15 (Wisconsin) | Primary |
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