MEDICARE: DR. CHRISTINE S RAUSCH 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	207N00000X	Dermatology Physician	0101238402	VA
2	207ND0101X	MOHS-Micrographic Surgery Physician	0101238402	VA

General Provider Information

NPI Number	:	1972589885
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTINE S RAUSCH MD

Provider Business Mailing Address
First Line	:	2510 GASKINS ROAD
Second Line	:
City	:	HENRICO
State	:	VA
Zip	:	23238
Country	:	US
Telephone Number	:	804-282-4940
Fax Number	:	804-282-4941

Provider Business Practice Location Address
First Line	:	2510 GASKINS ROAD
Second Line	:
City	:	HENRICO
State	:	VA
Zip	:	23238
Country	:	US
Telephone Number	:	804-282-4940
Fax Number	:	804-282-4941

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

Provider Enumeration Date	:	12/22/2005
Last Update Date	:	09/21/2009

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