Provider Demographics
NPI:1851394621
Name:RACHWAL, WILLIAM J (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:J
Last Name:RACHWAL
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2109 HUGHES DR
Mailing Address - Street 2:STE 720
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43606-5110
Mailing Address - Country:US
Mailing Address - Phone:419-291-2077
Mailing Address - Fax:419-291-2122
Practice Address - Street 1:2109 HUGHES DR
Practice Address - Street 2:STE 720
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43606-5110
Practice Address - Country:US
Practice Address - Phone:419-291-2077
Practice Address - Fax:419-291-2122
Is Sole Proprietor?:No
Enumeration Date:2005-05-24
Last Update Date:2023-11-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OH35074623R208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2079209Medicaid
OHRA0859332Medicare PIN
OHF67654Medicare UPIN
OH2079209Medicaid