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Dr. Douglas John Raedy, DO
Otolaryngology Physician in Portage, Michigan
NPI 1215111885

Douglas John Raedy is a Otolaryngology Physician based in Portage, MI. Douglas John Raedy practices in Portage, MI and has the professional credentials of DO. The NPI Number for Douglas John Raedy is 1215111885 and holds a License No. DR009649 (Michigan).

The current practice location address for Douglas John Raedy is 3850 Glenkerry Ct, Portage, MI and can be reached out via phone at 269-327-7200 and via fax at 269-327-9272.

Location: 3850 Glenkerry Ct, Portage, MI, 49024-0700
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1215111885
Provider Name
Douglas John Raedy
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
3850 Glenkerry Ct, Portage, MI, 49024-0700
Phone Number
269-327-7200
Fax Number
269-327-9272
Provider Enumeration Date
12/19/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2745903 05 MI
1753900045 01 MI BLUE CROSS BLUE SHIELDI
institution
Provider Business Practice Location Address Details
Address
3850 Glenkerry Ct
City
Portage
State
Michigan
Zip
49024-0700
Phone Number
269-327-7200
Fax Number
269-327-9272
person
Provider Business Mailing Address Details
Address
3850 Glenkerry Ct
City
Portage
State
Michigan
Zip
49024-0700
Phone Number
269-327-7200
Fax Number
269-327-9272
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
-
Taxonomy
207Y00000X
License No.
DR009649 (Michigan)
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
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