Dean, Raymond J

Dean, Raymond J is an individual health care provider with primary practice located at 3643 W Front St Ste A , Traverse City MI 49684-7760. He recently has only one registered license in Allopathic & Osteopathic Physicians / Procedural Dermatology, which is considered as his primary health care specialty. Dean, Raymond J can be contacted via phone (231) 935-0620.

Contact Information

Primary practice address
3643 W Front St Ste A Traverse City MI 49684-7760
Phone: (231) 935-0620
Fax: (231) 935-0626
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X RD07707 Michigan

Profile Details

NPI number 1023033255
LBN Legal business name Dean, Raymond J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2006
Last updated Apr 12th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023033255 NPPES
Michigan Other RD072707 MICHIGAN LIC#

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