Individual
RAYMOND G INGRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CFNP
Contact information
Practice address
680 COLUMBIA AVE W, BRONSON URGENT CARE, BATTLE CREEK, MI 49015-3028
(269) 965-4500
(269) 965-1150
Mailing address
601 JOHN ST, BOX 42, KALAMAZOO, MI 49007-5341
(269) 341-7806
(269) 341-8743
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704122272
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1669543740
—
MI
01
—
500C912770
BCBSM
MI
Enumeration date
11/13/2006
Last updated
09/16/2009
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