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Greg Evan Raecker, DO
Diagnostic Radiology Physician in Waterloo, Iowa
NPI 1225076029

Greg Evan Raecker is a Diagnostic Radiology Physician based in Waterloo, IA and is specialized in Diagnostic Radiology. Greg Evan Raecker practices in Waterloo, IA and has the professional credentials of DO. The NPI Number for Greg Evan Raecker is 1225076029 and holds a License No. 02087 (Iowa).

The current practice location address for Greg Evan Raecker is 1731 W Ridgeway Ave, Waterloo, IA and can be reached out via phone at 319-833-6001 and via fax at 319-833-6003.

Location: 1731 W Ridgeway Ave, Waterloo, IA, 50704-2758
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1225076029
Provider Name
Greg Evan Raecker
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
1731 W Ridgeway Ave, Waterloo, IA, 50704-2758
Phone Number
319-833-6001
Fax Number
319-833-6003
Provider Enumeration Date
06/03/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
42141730793 01 IA JOHN DEERE HLTH INS PLAN
56258 01 IA WELLMARK INS PLAN
5030635 05 IA
institution
Provider Business Practice Location Address Details
Address
1731 W Ridgeway Ave
City
Waterloo
State
Iowa
Zip
50701-4591
Phone Number
319-833-6001
Fax Number
319-833-6003
person
Provider Business Mailing Address Details
Address
1731 W Ridgeway Ave
City
Waterloo
State
Iowa
Zip
50701-4591
Phone Number
319-833-6001
Fax Number
319-833-6003
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
02087 (Iowa)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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