Mark Roger Raffin in Shelby Twp - Orthopedic
Mark Roger Raffin - NPI 1639275092
Mark Roger Raffin is a Orthopedic in Shelby Twp, Michigan. Mark Roger Raffin practices all healthcare services and medical treatments related to Orthopedic. The NPI Number for Mark Roger Raffin is 1639275092. The last update date is 2007-07-08.
Mark Roger Raffin's current location address is 54945 Mound Rd, Shelby Twp, Michigan. You can contact this provider via phone number 5869921500 and fax number 5869928050. The mailing address for Mark Roger Raffin is 54945 Mound Rd, Shelby Twp, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Roger Raffin |
|---|---|
| Address | 54945 Mound Rd, Shelby Twp, Michigan |
| Phone Number | 5869921500 |
| Fax Number | 5869928050 |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1639275092 |
|---|---|
| Provider Enumeration Date | 2006-09-15 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 54945 Mound Rd |
|---|---|
| City | Shelby Twp |
| State | Michigan (MI) |
| Post Code | 48316 |
| Phone Number | 5869921500 |
| Fax Number | 5869928050 |
Provider's Primary Taxonomy Detail
| Speciality | Orthopedic |
|---|---|
| Taxonomy | 2251X0800X |
| Licence No | 5501011264 |
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Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pat |
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What is the unique identifier code issued to Mark Roger Raffin by the Centers for Medicare & Medicaid Services?
The Mark Roger Raffin has been assigned the NPI (National Provider Identifier) 1639275092. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Mark Roger Raffin located?
The Mark Roger Raffin is located at 54945 Mound Rd, Shelby Twp, MI 48316.
What is the Mark Roger Raffin's specialty and taxonomy code?
The Mark Roger Raffin's specialty is Orthopedic, and the corresponding taxonomy code is 2251X0800X.
On what date did the Mark Roger Raffin receive the assignment of its 1639275092 from the Centers for Medicare & Medicaid Services?
The Mark Roger Raffin was issued its 1639275092 by the Centers for Medicare & Medicaid Services on 2006-09-15.
When was the Mark Roger Raffin's information last updated?
The Mark Roger Raffin's information was last updated on 2007-07-08.