Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. PAUL VARASTAD RAPHAELIAN, MD
ActiveDR. PAUL VARASTAD RAPHAELIAN, MD is a Sports Medicine (Emergency) healthcare provider located in NORTON SHORES, Michigan. NPI 1164450201 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (Emergency) · NORTON SHORES, MI
Registration Details
- NPI Number
- 1164450201
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 29, 2006 (20.166485769738 yrs)
- Last Updated
- Jan 26, 2022
- Licenses
-
4301066043 (MI)4301066043 (MI)
Practice Information
- Address
-
5957 HARVEY ST100NORTON SHORES, MI, 494449737Browse MI providers · Browse ZIP 49444
- Phone
- 2317337832
- Fax
- 2317332666
- Primary Specialty
-
Sports Medicine (Emergency)
207WX0107X
- Additional Specialty
- Sports Medicine (Emergency)
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.