Organization
DAVID G. RAFFO MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID G RAFFO M.D, (OWNER)
(616) 635-6050
Entity
Organization
Contact information
Practice address
4452 BURTON FOREST CT SE, GRAND RAPIDS, MI 49546-8801
(616) 635-6050
(616) 464-3223
Mailing address
PO BOX 888842, GRAND RAPIDS, MI 49588-8842
(616) 635-6050
(616) 464-3223
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301076928
MI
Other
Enumeration date
11/14/2011
Last updated
11/14/2011
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