Raether, Douglas J

Raether, Douglas J is an individual health care provider with primary practice located at 1700 W Stout St , Rice Lake WI 54868-5000. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Raether, Douglas J can be contacted via phone (715) 236-8100.

Contact Information

Primary practice address
1700 W Stout St Rice Lake WI 54868-5000
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 23200-020 Wisconsin
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 23200-020 Wisconsin
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X 23200-020 Wisconsin

Profile Details

NPI number 1588731798
LBN Legal business name Raether, Douglas J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2006
Last updated Dec 1st, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588731798 NPPES
Wisconsin MEDICAID 30551700

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