Individual
DR. PAUL CHARLES RAINIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
417 STATE ST SUITE 340, BANGOR, ME 04401
(912) 350-7412
(912) 350-7297
Mailing address
43 WHITING HILL RD SUITE 300, BREWER, ME 04412-1005
(207) 973-5035
(207) 973-5042
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
064957
GA
207X00000X
Orthopaedic Surgery Physician
MT185323
PA
207XX0801X
Orthopaedic Trauma Physician
064957
GA
207XX0801X
Orthopaedic Trauma Physician
Primary
MD21598
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
569154
WELLCARE
GA
05
—
771945694A
—
GA
05
—
GA1100
—
SC
01
—
P00869907
RR MEDICARE
GA
Enumeration date
06/14/2007
Last updated
12/11/2017
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