Individual
DR. JEFFREY L. RAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
14500 99TH AVE N, MAPLE GROVE, MN 55369-4730
(763) 898-1520
Mailing address
6401 UNIVERSITY AVE NE, FRIDLEY, MN 55432-4341
(763) 572-5710
(763) 571-3008
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
44383
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0702163
MEDICA
MN
01
—
1029424
PREFERRED ONE
MN
01
—
141532
UCARE MN
MN
01
—
1493817
AMERICA'S PPO
MN
05
—
382151000
—
MN
01
—
50G94RA
BCBS OF MN
MN
01
—
7760362
AETNA INS
MN
01
—
HP34719
HEALTHPARTNERS
MN
Enumeration date
08/25/2006
Last updated
07/25/2012
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