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Individual

DR. CONSTANTINE RAPHTIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
19714 E 10 MILE RD, ST CLAIR SHORES, MI 48080-1064
(586) 779-9400
(586) 779-8949
Mailing address
19714 E 10 MILE RD, ST CLAIR SHORES, MI 48080-1064
(586) 779-9400
(586) 779-8949

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
5101010924
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4325630
MI
Enumeration date
08/30/2005
Last updated
10/29/2008
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