Provider Demographics
NPI:1457189862
Name:RAABE, DENNIS KY (MS)
Entity type:Individual
Prefix:
First Name:DENNIS
Middle Name:KY
Last Name:RAABE
Suffix:
Gender:M
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6737 W WASHINGTON ST STE 2275
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53214-5666
Mailing Address - Country:US
Mailing Address - Phone:414-340-9364
Mailing Address - Fax:414-246-2502
Practice Address - Street 1:6737 W WASHINGTON ST STE 2275
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53214-5666
Practice Address - Country:US
Practice Address - Phone:414-340-9364
Practice Address - Fax:414-246-2502
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-25
Last Update Date:2024-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator