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Organization

RAINA L. HOLLENBAUGH, M.D., S.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RAINA L HOLLENBAUGH M.D. (AUTHORIZED OFFICIAL)
(262) 659-9400
Entity
Organization

Contact information

Practice address
791 E SUMMIT AVE, OCONOMOWOC, WI 53066-3844
(262) 569-9400
Mailing address
225 S EXECUTIVE DR, BROOKFIELD, WI 53005-4266
(262) 787-4026

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
32135800
WI
Enumeration date
05/26/2006
Last updated
09/11/2025
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