Individual
MICHAEL RAVEGUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CP, BOCPO
Contact information
Practice address
32 WEST RD, SUITE 120, TOWSON, MD 21204-2302
(717) 515-6000
Mailing address
2708 EASTWOOD DR, YORK, PA 17402-3910
(717) 515-6000
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OH000262
PA
174400000X
Specialist
PO000181
PA
Other
Enumeration date
03/10/2017
Last updated
03/10/2017
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