MEDICARE: MARC RASANSKY 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	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	22913	WI
2	207RG0300X	Geriatric Medicine (Internal Medicine) Physician	22913-20	WI
3	207RP1001X	Pulmonary Disease Physician	22913	WI
4	207RP1001X	Pulmonary Disease Physician	22913-20	WI
5	207RS0012X	Sleep Medicine (Internal Medicine) Physician	22913	WI
6	207RS0012X	Sleep Medicine (Internal Medicine) Physician	22913-20	WI
7	207R00000X	Internal Medicine Physician	22913-20	WI

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

General Provider Information

NPI Number	:	1548231129
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARC RASANSKY MD

Provider Business Mailing Address
First Line	:	1020 N 12TH ST
Second Line	:	AURORA HEALTH CARE CENTER FOR SENIOR HEALTH & LONGEVITY
City	:	MILWAUKEE
State	:	WI
Zip	:	53233-1308
Country	:	US
Telephone Number	:	414-219-7300
Fax Number	:	414-219-7632

Provider Business Practice Location Address
First Line	:	1020 N 12TH ST,
Second Line	:	AURORA HEALTH CARE CENTER FOR SENIOR HEALTH & LONGEVITY
City	:	MILWAUKEE
State	:	WI
Zip	:	53201-0342
Country	:	US
Telephone Number	:	414-219-7300
Fax Number	:	414-219-7632

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

Provider Enumeration Date	:	01/31/2006
Last Update Date	:	12/07/2021

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Directions to “ MARC RASANSKY MD” Practice Location

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