Individual
MR. ERIC R RASMUSSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(313) 916-9135
Mailing address
1662 FOUR SEASONS DR, HOWELL, MI 48843-6115
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601004000
MI
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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