Tom David Raisanen, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1124481544

Tom David Raisanen, MD is a Dermatology in Laurium, Michigan. Qualified in 2016, 10 years ago. Practices with Aspirus Keweenaw, a 116-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying: 10
Licensed in: MI
In the registry since: 2016
Specialties on file: 2

What do these letters mean?

MD — Doctor of Medicine: A physician who completed allopathic medical school.

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Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Laurium, MI

No coordinates on file. Search this address in Google Maps

Specialties & licences

Dermatology Physician (primary)	Taxonomy 207N00000X · Licence 4301110056 (MI)
Student in an Organized Health Care Education/Training Program	Taxonomy 390200000X

Record details

NPI number	1124481544
Entity type	Individual (Type 1)
Gender	Male
Credentials	MD
Sole proprietor	Yes
NPI enumerated	April 2, 2016
Last updated in NPPES	July 21, 2020
Certification date	July 21, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialty	DERMATOLOGY
Medical school	OTHER
Graduated	2016 (10 years in practice)
Group practice	Aspirus Keweenaw — 116 clinicians
Accepts Medicare assignment	Yes — accepts the Medicare-approved amount
Practice locations	7 on file with Medicare