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Individual

BRENT J RAAP

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
4293 N HURON RD, PINCONNING, MI 48650-8402
(989) 879-6244
(919) 879-6211
Mailing address
4293 N HURON RD, PINCONNING, MI 48650-8402
(989) 879-6244
(919) 879-6211

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101013384
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0998243
HEALTH PLUS
MI
05
4603193
MI
01
5091012
BLUE CROSS
MI
01
7178211
AETNA HEALTHCARE
01
P00163109
RAILROAD MEDICARE
Enumeration date
08/31/2005
Last updated
07/09/2007
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