Organization
JOHN B RASOR D O P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN B RASOR (PHYSICIAN)
(810) 227-2767
Entity
Organization
Contact information
Practice address
7960 GRAND RIVER RD STE 160, BRIGHTON, MI 48114-7331
(810) 227-2767
Mailing address
7960 GRAND RIVER RD STE 160, BRIGHTON, MI 48114-7331
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
JR009380
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1402941
—
MI
Enumeration date
03/21/2007
Last updated
09/08/2010
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