Individual
MICHAEL C RAKLEWICZ
Active
Individual
MICHAEL C RAKLEWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD014960E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0006104670005
—
PA
01
—
90067
BLUE SHIELD
PA
Enumeration date
08/13/2006
Last updated
07/27/2021
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