Individual
DR. MARK RAPHAEL
Active
Individual
DR. MARK RAPHAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
5101020932
MI
207RG0100X
Gastroenterology Physician
Primary
5101020932
MI
Other
Enumeration date
04/23/2014
Last updated
03/26/2021
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