DR. Douglas John Raedy, D.O

NPI #1215111885 in Portage, Michigan

Provider Information

NPI Number: 1215111885
Entity Type: Individual
Name: DR. Douglas John Raedy, D.O
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Otolaryngology
Credential: D.O
Enumeration Date: Dec 19, 2007
Last Updated: May 10, 2011

Practice Location

Address: 3850 GLENKERRY CT
City: Portage
State: Michigan
ZIP Code: 49024-0700
Phone: (269) 327-7200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Otolaryngology	207Y00000X	Primary

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Organizations

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West Michigan Ear Nose & Throat Plc	Otolaryngology	Portage	AI Deep Dive
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