Jack Michael Raisanen in Dallas - Neuropathology

Jack Michael Raisanen - NPI 1083673115

Jack Michael Raisanen is a Neuropathology in Dallas, Texas. Jack Michael Raisanen practices all healthcare services and medical treatments related to Neuropathology. The NPI Number for Jack Michael Raisanen is 1083673115. The last update date is 2007-12-01.

Jack Michael Raisanen's current location address is Po Box 845347, Dallas, Texas. You can contact this provider via phone number 2146481620 and fax number 2146484080. The mailing address for Jack Michael Raisanen is Po Box 845347, Dallas, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Jack Michael Raisanen
Address Po Box 845347, Dallas, Texas
Phone Number 2146481620
Fax Number 2146484080
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1083673115
Provider Enumeration Date 2006-03-18
Last Updated Date 2007-12-01

Provider Mailing Address Detail

Address Po Box 845347
City Dallas
State Texas (TX)
Post Code 752845347
Phone Number 2146481620
Fax Number 2146484080

Provider's Primary Taxonomy Detail

Speciality Neuropathology
Taxonomy 207Zn0500X
Licence No L1177
Definition:
A neuropathologist is expert in the diagnosis of diseases of the nervous system and skeletal muscles and functions as a consultant primarily to neurologists and neurosurgeons. The neuropathologist is knowledgeable in the infirmities of humans as they

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FAQs about Jack Michael Raisanen

What is the unique identifier code issued to Jack Michael Raisanen by the Centers for Medicare & Medicaid Services?

The Jack Michael Raisanen has been assigned the NPI (National Provider Identifier) 1083673115. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Jack Michael Raisanen is geographically located?

The Jack Michael Raisanen is physically situated at the following location: Po Box 845347, Dallas, TX, 752845347.

What is Jack Michael Raisanen's specialized field of practice, and what is the corresponding taxonomy classification code?

The Jack Michael Raisanen's area of specialization is Neuropathology, and the corresponding taxonomy code that categorizes this field of practice is 207Zn0500X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1083673115 to Jack Michael Raisanen?

The Centers for Medicare & Medicaid Services originally issued the 1083673115 to Jack Michael Raisanen on 2006-03-18.

As of what date were the details pertaining to Jack Michael Raisanen last refreshed?

The information related to the Jack Michael Raisanen, including its address, specialty, and other relevant details, was last updated on 2007-12-01.

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