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Dr. Derissa Folasade Raynold, MD
Student in an Organized Health Care Education/Training Program in Kalamazoo, Michigan
NPI 1083351506

Derissa Folasade Raynold is a Student in an Organized Health Care Education/Training Program based in Kalamazoo, MI. Derissa Folasade Raynold practices in Kalamazoo, MI and has the professional credentials of MD. The NPI Number for Derissa Folasade Raynold is 1083351506 and holds a License No. 4351049698 (Michigan).

The current practice location address for Derissa Folasade Raynold is 1000 Oakland Dr, Kalamazoo, MI and can be reached out via phone at 269-337-4600.

Location: 1000 Oakland Dr, Kalamazoo, MI, 49008-1282
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1083351506
Provider Name
Derissa Folasade Raynold
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1000 Oakland Dr, Kalamazoo, MI, 49008-1282
Phone Number
269-337-4600
Fax Number
Provider Enumeration Date
05/16/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1000 Oakland Dr
City
Kalamazoo
State
Michigan
Zip
49008-1282
Phone Number
269-337-4600
Fax Number
person
Provider Business Mailing Address Details
Address
1000 Oakland Dr
City
Kalamazoo
State
Michigan
Zip
49008-1282
Phone Number
269-337-4600
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
4351049698 (Michigan)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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