Douglas Raedy, D.O

NPI 1215111885 · on the registry since 2007 · sole proprietor

Practice

Address: 3850 Glenkerry Ct
Portage, MI 49024
Phone: (269) 327-7200
Fax: (269) 327-9272
Organisation at this address: Three Rivers Health System, Inc
Portage Audiology Consultants, Llc
West Michigan Ear Nose & Throat Plc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 5

Registry record

Primary taxonomy: 207Y00000X
207Y00000X
Licence states on file: MI
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2011-05-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan