Provider Demographics
NPI:1467647420
Name:GELABERT, RAYMOND EMILIO (MD)
Entity Type:Individual
Prefix:DR
First Name:RAYMOND
Middle Name:EMILIO
Last Name:GELABERT
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Gender:M
Credentials:MD
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Mailing Address - Street 1:3496 E LAKE LANSING RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:EAST LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48823-2288
Mailing Address - Country:US
Mailing Address - Phone:517-333-0968
Mailing Address - Fax:517-333-4306
Practice Address - Street 1:3496 E LAKE LANSING RD
Practice Address - Street 2:SUITE 100
Practice Address - City:EAST LANSING
Practice Address - State:MI
Practice Address - Zip Code:48823-2288
Practice Address - Country:US
Practice Address - Phone:517-333-0968
Practice Address - Fax:517-333-4306
Is Sole Proprietor?:No
Enumeration Date:2007-09-12
Last Update Date:2023-03-07
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Provider Licenses
StateLicense IDTaxonomies
MI4301062678207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
BG3966427OtherDEA