MEDICARE: ROBERT R RAUNER MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	20175	NE

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
4	P00016734	OTHER	NE	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1922061704
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT R RAUNER MD

Provider Business Mailing Address
First Line	:	336 S 9TH ST
Second Line	:
City	:	DAVID CITY
State	:	NE
Zip	:	68632-2116
Country	:	US
Telephone Number	:	402-367-3193
Fax Number	:	402-367-3261

Provider Business Practice Location Address
First Line	:	336 S 9TH ST
Second Line	:
City	:	DAVID CITY
State	:	NE
Zip	:	68632-2116
Country	:	US
Telephone Number	:	402-367-3193
Fax Number	:	402-367-3261

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/11/2006
Last Update Date	:	01/21/2013

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Directions to “ ROBERT R RAUNER MD” Practice Location

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