Rasku, Mary Ann
Rasku, Mary Ann is an individual health care provider with primary practice located at 1220 Dewey Ave , Wauwatosa WI 53213-2504. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Rasku, Mary Ann can be contacted via phone (414) 454-6566.Contact Information
Primary practice address
1220 Dewey Ave
Wauwatosa WI 53213-2504
Phone: (414) 454-6566
Fax: (414) 454-6522
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 65713-20 | Wisconsin |
Profile Details
| NPI number | 1487915237 |
|---|---|
| LBN Legal business name | Rasku, Mary Ann |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 7th, 2012 |
| Last updated | Jul 27th, 2016 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487915237 | NPPES |
| Wisconsin | MEDICAID | 1487915237 |
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