Individual
JAMES VINCENT RACCUIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1200 E MICHIGAN AVE STE 655, LANSING, MI 48912-1837
(517) 267-2460
Mailing address
1200 E MICHIGAN AVE STE 655, LANSING, MI 48912-1837
(517) 267-2460
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4301110299
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5315077017
CONTROLLED SUBSTANCE NUMBER
MI
Enumeration date
06/17/2016
Last updated
06/17/2016
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