Organization
DR. RAYMOND H. DURUSSEL, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAYMOND HOWARD DURUSSEL D.P.M. (OWNER)
(248) 486-1177
Entity
Organization
Contact information
Practice address
13650 10 MILE RD, SOUTH LYON, MI 48178-9143
(248) 486-1177
(248) 486-5575
Mailing address
13650 10 MILE RD, SOUTH LYON, MI 48178-9143
(248) 486-1177
(248) 486-5575
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
RD001395
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4181002
—
MI
Enumeration date
06/12/2007
Last updated
04/22/2008
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