| Doctor Name: | WALTER RAE |
| NPI Number: | 1003133570 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | RN |
| License Number: | 0260058372 |
| Business Practice Address: | 58 Big Deer Run Newfane, VT - 053459570 |
| Business Phone Number: | 8023659499 |
| Business Fax Number: | |
| Mailing Address: | 58 Big Deer Run, NEWFANE |
| State: | VT |
| Postal Code: | 053459570 |
| Phone Number: | 8023659499 |
| Fax Number: | |
| NPI Enumeration Date: | 04/23/2010 |
| NPI Last Update Date: | 04/23/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 282NC0060X |
| License Number: | 0260058372 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VT |
| Taxonomy Type: | Hospitals |
| Taxonomy Classification: | General Acute Care Hospital |
| Taxonomy Specialization: | Critical Access |
| Taxonomy Definition: | |