Provider Demographics
NPI:1073513917
Name:RAPSON, CAROL R (MD)
Entity Type:Individual
Prefix:DR
First Name:CAROL
Middle Name:R
Last Name:RAPSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1550 WATERTOWER PL
Mailing Address - Street 2:SUITE 500
Mailing Address - City:EAST LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48823-6396
Mailing Address - Country:US
Mailing Address - Phone:517-333-6060
Mailing Address - Fax:517-333-6068
Practice Address - Street 1:1550 WATERTOWER PL
Practice Address - Street 2:SUITE 500
Practice Address - City:EAST LANSING
Practice Address - State:MI
Practice Address - Zip Code:48823-6396
Practice Address - Country:US
Practice Address - Phone:517-333-6060
Practice Address - Fax:517-333-6068
Is Sole Proprietor?:No
Enumeration Date:2005-07-21
Last Update Date:2009-09-11
Deactivation Date:2006-03-21
Deactivation Code:
Reactivation Date:2006-04-10
Provider Licenses
StateLicense IDTaxonomies
MI040217207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1831874Medicaid
MIA74426Medicare UPIN
MI0330156Medicare ID - Type Unspecified