Individual
JAMES G RAVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3000 REGENCY CT, STE 100, TOLEDO, OH 43623-3081
(419) 882-2020
(419) 885-8440
Mailing address
2723 S STATE ST, SUITE 220, ANN ARBOR, MI 48104-6188
(877) 852-8463
(734) 994-6283
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
032839
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000126975
ANTHEM BCBS
OH
05
—
0285847
—
OH
01
—
180008104
RAILROAD MEDICARE
—
Enumeration date
06/10/2005
Last updated
12/17/2008
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