Organization
R BLAINE RAWSON MD PC
Active
Organization
R BLAINE RAWSON MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAYMOND BLAINE RAWSON MD (OWNER)
(231) 487-5837
Entity
Organization
Contact information
Practice address
2390 MITCHELL PARK DR STE B, PETOSKEY, MI 49770-8965
(231) 487-5837
(231) 622-8771
Mailing address
2390 MITCHELL PARK DR STE B, PETOSKEY, MI 49770-8965
(231) 487-5837
(231) 622-8771
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
4301086659
MI
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
11/23/2011
Last updated
10/11/2017
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