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Individual

MARTIN T RASP

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
401 N HOOPER ST, CARO, MI 48723-1476
(989) 673-3141
(989) 673-8471
Mailing address
686 MELLISH DR, LAPEER, MI 48446-3339
(810) 664-2798

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
5101006518
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4527135
MI
Enumeration date
04/24/2007
Last updated
07/08/2007
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