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Organization
DR. RAYMOND H. DURUSSEL, P.C.
Active
Organization
DR. RAYMOND H. DURUSSEL, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAYMOND HOWARD DURUSSEL D.P.M. (OWNER)
(248) 486-1177
Entity
Organization
Contact information
Practice address
13650 10 MILE RD, SOUTH LYON, MI 48178-9143
(248) 486-1177
(248) 486-5575
Mailing address
13650 10 MILE RD, SOUTH LYON, MI 48178-9143
(248) 486-1177
(248) 486-5575
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
RD001395
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4181002
—
MI
Enumeration date
06/12/2007
Last updated
04/22/2008
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