Organization
CB RAO MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHINTAMENI B RAO MD (PRESIDENT)
(906) 485-5583
Entity
Organization
Contact information
Practice address
901 LAKE SHORE DR, ISHPEMING, MI 49849-1367
(906) 485-5583
(906) 485-5676
Mailing address
2837 US 41 W, MARQUETTE, MI 49855-2252
(906) 225-3964
(906) 226-3875
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
04/08/2010
Last updated
04/08/2010
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