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Individual
THOMAS JAY RAIFE
Active
Individual
THOMAS JAY RAIFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207ZB0001X
Blood Banking & Transfusion Medicine Physician
Primary
36858
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1114454
—
IA
05
—
2114454
—
IA
01
—
33948
WELLMARK BCBS
IA
01
—
40227
WELLMARK BCBS
IA
Enumeration date
10/10/2005
Last updated
07/01/2024
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