Individual
PHILLIP RAIMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1853 R W BERENDS DR SW, WYOMING, MI 49519-4955
(616) 745-6627
Mailing address
9610 BLUEWATER HWY, LOWELL, MI 49331-9298
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704328010
MI
Other
Enumeration date
09/12/2022
Last updated
09/12/2022
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