Most Relevant Information
Provider Data
| NPI Number: | 1003003773 |
| Provider Name: | ANDREA RAINE CPM, LM |
| Entity Type: | Individual |
| Taxonomy Code: | 175M00000X |
| Specialty: | Midwife, Lay |
| License Number: | 30-049 |
Most Important Dates
| Enumeration Date: | 09/26/2007 |
| Last Updated: | 09/26/2007 |
Provider Practice Location
2108 CHURCH ST
STEVENS POINT
WI
544814503
Practice Location Phone/Fax
| Phone: | 7153451222 |
| Fax: |
Provider Mailing Location
2108 CHURCH ST
STEVENS POINT
WI
544814503
Provider Mailing Phone/Fax
| Phone: | 7153451222 |
| Fax: |