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Individual

DR. MICHAEL W. RAIES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
1915 SCIOTO TRL, PORTSMOUTH, OH 45662-2843
(740) 354-2821
(740) 354-6162
Mailing address
1915 SCIOTO TRL, PORTSMOUTH, OH 45662-2843
(740) 354-2821
(740) 354-6162

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4139/T207
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0751708
OH
Enumeration date
10/17/2006
Last updated
01/23/2012
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