Individual
DR. HEATHER A RAINWATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4410 REGENT STREET, MADISON, WI 53705-4901
(608) 233-9746
(608) 233-0026
Mailing address
4410 REGENT STREET, MADISON, WI 53705-4901
(608) 233-9746
(608) 233-0026
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
04-29458
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100420280A
—
KS
Enumeration date
06/08/2006
Last updated
08/09/2010
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