Individual
DR. MICHAEL RAISCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8900 N KENDALL DR, MIAMI, FL 33176-2118
(786) 596-2000
Mailing address
PO BOX 198054, ATLANTA, GA 30384-8054
(786) 596-2000
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
ME148370
FL
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
182832
NC
Other
Enumeration date
04/27/2012
Last updated
02/09/2022
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