Organization
NORTHWEST WISCONSIN ANESTHESIOLOGISTS, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS J RAETHER M.D. (PRESIDENT)
(715) 234-1515
Entity
Organization
Contact information
Practice address
1100 N MAIN ST, RICE LAKE, WI 54868-1238
(715) 234-1515
Mailing address
225 S EXECUTIVE DR, BROOKFIELD, WI 53005-4266
(262) 787-4026
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32881600
—
WI
Enumeration date
07/23/2006
Last updated
09/11/2025
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