Individual provider · Type 1 NPI

Jack Michael Raisanen, MD

Neuropathology Physician · Dallas, TX

NPI number 1083673115 Active

Practice location

5323 Harry Hines Blvd
Dallas, TX 75390-7208

Call (214) 648-1620 Map

Fax (214) 648-4080

Mailing address

PO Box 845347
Dallas, TX 75284-5347

Specialties and licenses

TaxonomyCodeLicense
Neuropathology Physician Primary 207ZN0500XL1177 (TX)

Neuropathology Physician: A neuropathologist is expert in the diagnosis of diseases of the nervous system and skeletal muscles and functions as a consultant primarily to neurologists and neurosurgeons. The neuropathologist is knowledgeable in the infirmities of humans as they affect the nervous and neuromuscular systems, be they degenerative, infectious, metabolic, immunologic, neoplastic, vascular or physical in nature.

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About NPI 1083673115

Jack Michael Raisanen, MD's National Provider Identifier is 1083673115, issued on Mar 18, 2006. The primary taxonomy on file is Neuropathology Physician (207ZN0500X), and the practice location is in Dallas, TX. The record was last updated on Dec 1, 2007.