Individual
AMY BETH RAUBENOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
125 S KALAMAZOO MALL STE 204, KALAMAZOO, MI 49007-4869
(269) 343-3900
Mailing address
125 S KALAMAZOO MALL STE 204, KALAMAZOO, MI 49007-4869
(269) 343-3900
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
4301096220
MI
390200000X
Student in an Organized Health Care Education/Training Program
4301096220
MI
Other
Enumeration date
06/02/2010
Last updated
07/30/2013
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