JACK MICHAEL RAISANEN

DALLAS, TX
NPI1083673115
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207ZN0500X Pathology, Neuropathology
(Licence: TX  L1177)
Enumeration Date2006-03-18
Last Update Date2007-12-01
Business Address
Dr. JACK MICHAEL RAISANEN MD
5323 HARRY HINES BLVD
DALLAS, TX 75390-7208
Phone number: 214-648-1620
Mailing Address
Dr. JACK MICHAEL RAISANEN MD
PO BOX 845347
DALLAS, TX 75284-5347
Phone number: 214-648-1620