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Individual

DR. MICHAEL ERNEST RAEMISCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
324 10TH AVE, #100, SALT LAKE CITY, UT 84103-2853
(801) 408-8700
(801) 408-8732
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 408-8700
(801) 408-8732

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
60326411205
UT
207XS0106X
Orthopaedic Hand Surgery Physician
6032641-1205
UT
2086S0105X
Surgery of the Hand (Surgery) Physician
Primary
6032641-1205
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
942854057012
UT
Enumeration date
06/06/2006
Last updated
11/20/2012
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