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Individual

JOHN E. RAFTERY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1200 6TH ST, TRAVERSE CITY, MI 49684-2369
(231) 935-5800
(231) 935-5822
Mailing address
1200 6TH ST, TRAVERSE CITY, MI 49684-2369
(231) 935-5800
(231) 935-5822

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
4301051158
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3467613
MI
Enumeration date
09/20/2005
Last updated
07/10/2012
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