Individual
DR. CHARLES RAINEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
MCW CAMPUS CLINIC AT TOSA CENTER, 1155 NORTH MAYFAIR ROAD, MILWAUKEE, WI 53226
(414) 456-5990
Mailing address
1155 N MAYFAIR RD, MCW CAMPUS CLINIC AT TOSA CENTER, MILWAUKEE, WI 53226-3421
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
37028
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32298500
—
WI
Enumeration date
05/17/2006
Last updated
07/08/2007
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