MEDICARE: RICK TRAUTNER M.D.

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	2084P0800X	Psychiatry Physician	G51989	CA

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	:	1841395266
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RICK TRAUTNER M.D.

Provider Business Mailing Address
First Line	:	2006 DWIGHT WAY STE 302
Second Line	:
City	:	BERKELEY
State	:	CA
Zip	:	94704-2633
Country	:	US
Telephone Number	:	510-649-1592
Fax Number	:	510-649-1593

Provider Business Practice Location Address
First Line	:	2006 DWIGHT WAY STE 302
Second Line	:
City	:	BERKELEY
State	:	CA
Zip	:	94704-2633
Country	:	US
Telephone Number	:	510-649-1592
Fax Number	:	510-649-1593

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

Provider Enumeration Date	:	09/13/2006
Last Update Date	:	07/08/2007

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