Most Relevant Information
Provider Data
| NPI Number: | 1003352683 |
| Provider Name: | PETER KONSTANTINE RAISANEN NMD |
| Entity Type: | Individual |
| Taxonomy Code: | 175F00000X |
| Specialty: | Naturopath |
| License Number: | 17-1688 |
Most Important Dates
| Enumeration Date: | 01/06/2017 |
| Last Updated: | 04/24/2020 |
Provider Practice Location
10444 N 69TH ST APT 101
PARADISE VALLEY
AZ
852531453
Practice Location Phone/Fax
| Phone: | 4802562436 |
| Fax: | 8339860103 |
Provider Mailing Location
10444 N 69TH ST # 101
PARADISE VALLEY
AZ
852531452
Provider Mailing Phone/Fax
| Phone: | 4802562436 |
| Fax: | 8339860103 |