Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207L00000X | Anesthesiologist | 125061965 | IL |
NPI | 1003163403 |
---|---|
Provider Name | Matthew Rahrig |
First Address | Findlay, OH 45840-4802 |
Second Address | Mount Vernon, OH 43050 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/08/2012 |
Last Update Date | 01/06/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
229799 | (05) | OH |