Dr. Raymond Robert Ackerman, DO
Family Medicine in Livonia, MI. Individual provider (NPI-1).
NPI number1922666379
StatusActive
Last updated in NPPESJan 27, 2023
Details
- NPI
- 1922666379
- Entity type
- Individual (NPI-1)
- Name
- Dr. Raymond Robert Ackerman
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 31, 2019
- Certification date
- Jan 27, 2023
- Last updated
- Jan 27, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 5101026960 | MI | Yes |
| 207Q00000X | Family Medicine | 5151013646 | MI | |
| 207Q00000X | Family Medicine | 5315234969 | MI |
Practice location
39000 7 Mile RdLivonia, MI 48152-1006
Phone 947-523-4300
Mailing address
26901 Beaumont BlvdSouthfield, MI 48033-3849
Other practice locations
468 Cadieux Rd
Grosse Pointe, MI 48230-1507
Grosse Pointe, MI 48230-1507
Phone 313-473-1000
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