Individual
DR. RAIMUNDO PASTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
28080 GRAND RIVER AVE, SUITE 204 N, FARMINGTON HILLS, MI 48336-5966
(248) 478-7767
(248) 478-5727
Mailing address
28080 GRAND RIVER AVE, SUITE 204 N, FARMINGTON HILLS, MI 48336-5966
(248) 478-7767
(248) 478-5727
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
011973
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0256304795
BLUE CROSS OF MI
MI
05
—
3456280
—
MI
01
—
OM65150
MEDICARE RAILROAD
MI
Enumeration date
08/31/2006
Last updated
09/04/2024
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