Individual
DR. RAFAEL A JAVIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1703 E MICHIGAN AVE, LANSING, MI 48912-2841
(517) 913-3860
(517) 484-6864
Mailing address
1703 E MICHIGAN AVE, LANSING, MI 48912-2841
(517) 913-3860
(517) 484-6864
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
4301038160
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0M54770002
MEDICARE PLUS BLUE
MI
01
—
1001751
MCLAREN HEALTH PLAN-MEDICAID
MI
01
—
1103341901
BCBS/BCN
MI
01
—
200000002168
PHP FAMILYCARE
MI
05
—
3421196
—
MI
05
—
3421202
—
MI
01
—
4496774
AETNA
MI
01
—
P00257186
RAILROAD MEDICARE
MI
Enumeration date
05/18/2006
Last updated
09/23/2009
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