Individual
DR. RAYMOND ROBERT KOMRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1365 MERCY DR, MUSKEGON, MI 49444-1837
(231) 739-9095
(231) 739-6439
Mailing address
1365 MERCY DR, MUSKEGON, MI 49444-1837
(231) 739-9095
(231) 739-6439
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0610450
BCBS PROV ID NO
MI
01
—
105115
PREFERRED CHOICE PRO ID
MI
05
—
1517752
—
MI
01
—
P55690
BLUE CARE NETWORK PRO ID
MI
01
—
RK039403
BCBS REFERRING PRO ID NO.
MI
Enumeration date
07/20/2006
Last updated
03/07/2023
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