Individual
DR. MARK RAPHAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
900 COOPER AVE STE 4300, SAGINAW, MI 48602-5182
(989) 583-7460
Mailing address
1447 N HARRISON ST, SAGINAW, MI 48602-4727
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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