Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JACK MICHAEL RAISANEN, MD
ActiveDR. JACK MICHAEL RAISANEN, MD is a Neuropathology healthcare provider located in DALLAS, Texas. NPI 1083673115 is currently active in the NPPES registry. Verify at CMS.
Neuropathology · DALLAS, TX
Registration Details
- NPI Number
- 1083673115
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 18, 2006 (20.419763332924 yrs)
- Last Updated
- Dec 1, 2007
- License
-
L1177 (TX)
Practice Information
- Address
-
5323 HARRY HINES BLVDDALLAS, TX, 753907208Browse TX providers · Browse ZIP 75390
- Phone
- 2146481620
- Fax
- 2146484080
- Primary Specialty
-
Neuropathology
207ZN0500X
Other Neuropathology Providers in DALLAS, TX
| Name | Credential | NPI |
|---|---|---|
| DR. KIMMO JOHANNES HATANPAA | MD | 1225007750 |
| DR. DENNIS KENDALL BURNS | MD | 1710948153 |
| DR. CHARLES LEE WHITE III | MD | 1346201613 |
| EMILY SUSANNE HERNDON | MD | 1881898179 |
| ELENA V DAOUD | MD, PHD | 1366806572 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.