| Doctor Name: | ROBERT SEAN RAE |
| NPI Number: | 1003852070 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 4301080667 |
| Business Practice Address: | 5308 Harroun Rd Suite 155 Sylvania, OH - 435602114 |
| Business Phone Number: | 4198246100 |
| Business Fax Number: | 4198417735 |
| Mailing Address: | 5308 Harroun Rd, Suite 155 SYLVANIA |
| State: | OH |
| Postal Code: | 435602114 |
| Phone Number: | 4198246100 |
| Fax Number: | 4198417735 |
| NPI Enumeration Date: | 06/20/2006 |
| NPI Last Update Date: | 04/01/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207RA0000X |
| License Number: | 4301080667 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MI |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Internal Medicine |
| Taxonomy Specialization: | Adolescent Medicine |
| Taxonomy Definition: | An internist who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |