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Individual

DR. JOSE LUIS RAYGADA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4641 E PICKARD ST STE A, MT PLEASANT, MI 48858-2189
(989) 948-4863
(989) 215-6501
Mailing address
4641 E PICKARD ST STE A, MT PLEASANT, MI 48858-2189
(989) 948-4863
(989) 215-6501

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301083444
MI
207RI0200X
Infectious Disease Physician
Primary
4301083444
MI
207RI0200X
Infectious Disease Physician
5315042575
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1051580
MCLAREN
MI
01
1103700032
BCBSM
MI
01
200000021994
PHP COMMERCIAL
MI
Enumeration date
05/24/2007
Last updated
05/30/2023
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