Doctor Name: | DR. JEFFREY L. RAINES |
NPI Number: | 1366550923 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 44383 |
Business Practice Address: | 14500 99th Ave N Maple Grove, MN - 553694730 |
Business Phone Number: | 7638981520 |
Business Fax Number: | |
Mailing Address: | 6401 University Ave Ne, FRIDLEY |
State: | MN |
Postal Code: | 554324341 |
Phone Number: | 7635725710 |
Fax Number: | 7635713008 |
NPI Enumeration Date: | 08/25/2006 |
NPI Last Update Date: | 07/25/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | 44383 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |