Healthcare Provider Details

I. General information

NPI: 1144808437
Provider Name (Legal Business Name): ALLISON MARIE RAUSCH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ALLISON MARIE THILGES

II. Dates (important events)

Enumeration Date: 03/30/2021
Last Update Date: 09/23/2024
Certification Date: 09/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1515 S PHILLIPS ST
ALGONA IA
50511-3649
US

IV. Provider business mailing address

1515 S PHILLIPS ST
ALGONA IA
50511-3649
US

V. Phone/Fax

Practice location:
  • Phone: 515-295-7714
  • Fax:
Mailing address:
  • Phone: 515-295-7714
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD-52392
License Number StateIA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: