Provider Demographics
NPI:1831299700
Name:RASKIN CLINICAL ASSOCIATES, P.C.
Entity type:Organization
Organization Name:RASKIN CLINICAL ASSOCIATES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MILTON
Authorized Official - Middle Name:ARNOLD
Authorized Official - Last Name:RASKIN
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:248-613-3660
Mailing Address - Street 1:35600 CENTRAL CITY PKWY STE 102
Mailing Address - Street 2:
Mailing Address - City:WESTLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48185-2046
Mailing Address - Country:US
Mailing Address - Phone:248-837-5101
Mailing Address - Fax:734-762-5006
Practice Address - Street 1:35600 CENTRAL CITY PKWY STE 102
Practice Address - Street 2:
Practice Address - City:WESTLAND
Practice Address - State:MI
Practice Address - Zip Code:48185-2046
Practice Address - Country:US
Practice Address - Phone:248-837-5101
Practice Address - Fax:734-762-5006
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-22
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
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