Doctor Name: | JOHN A RAYMOND |
NPI Number: | 1043248396 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 4301036632 |
Business Practice Address: | 1465 E Parkdale Ave Manistee, MI - 496609709 |
Business Phone Number: | 2317231147 |
Business Fax Number: | 2313981427 |
Mailing Address: | Po Box 315, CADILLAC |
State: | MI |
Postal Code: | 496010315 |
Phone Number: | 2317757405 |
Fax Number: | 2317750027 |
NPI Enumeration Date: | 06/28/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085N0700X |
License Number: | 4301036632 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | MI |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Neuroradiology |
Taxonomy Definition: | A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children. |