Tom David Raisanen, M.D.

NPI #1124481544 in Laurium, Michigan

Provider Information

NPI Number: 1124481544
Entity Type: Individual
Name: Tom David Raisanen, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dermatology
Credential: M.D.
Enumeration Date: Apr 2, 2016
Last Updated: Jul 21, 2020

Practice Location

Address: 205 OSCEOLA ST
City: Laurium
State: Michigan
ZIP Code: 49913-2134
Phone: (906) 337-6560

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Dermatology	207N00000X	Primary

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