Individual
DR. MARTIN GEORGE RAEBEL II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
430 WILEY ROAD, DOUGLAS, MI 49406
(269) 857-1431
(269) 857-4089
Mailing address
PO BOX 109, 430 WILEY ROAD, DOUGLAS, MI 49406
(269) 857-1431
(269) 857-4089
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11620
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4274157
—
MI
Enumeration date
10/25/2006
Last updated
07/08/2007
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