Individual
DR. PAUL VARASTAD RAPHAELIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5957 HARVEY ST, 100, NORTON SHORES, MI 49444-9737
(231) 733-7832
(231) 733-2666
Mailing address
39650 ORCHARD HILL PL, 200, NOVI, MI 48375-5331
(248) 319-0161
(248) 319-0170
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
4301066043
MI
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
4301066043
MI
Other
Enumeration date
06/29/2006
Last updated
01/26/2022
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