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Individual

IVAN M RAIMI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
620 BYRON RD, HOWELL, MI 48843-1002
(517) 545-6000
Mailing address
2000 GREEN RD, SUITE 300, ANN ARBOR, MI 48105-1598

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036-140522
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4481439
MI
01
IR015540
BC/BS
MI
Enumeration date
05/25/2006
Last updated
10/18/2017
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