Individual provider · Type 1 NPI

Ross Michael Raedeke, MD

Student in an Organized Health Care Education/Training Program · Lubbock, TX

NPI number 1285577965 Active

Practice location

3601 4th St Stop Ms 7217
Lubbock, TX 79430-0002

Call (806) 543-7150 Map

Mailing address

4017 123rd St
Lubbock, TX 79423-7511

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1285577965

Ross Michael Raedeke, MD's National Provider Identifier is 1285577965, issued on Apr 9, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Lubbock, TX. The record was last updated on Apr 9, 2026.