Individual
AUDREY A CAINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
166 4TH ST E, SAINT PAUL, MN 55101-1421
(651) 292-2043
(651) 292-2204
Mailing address
166 4TH ST E, SAINT PAUL, MN 55101-1421
(651) 292-2043
(651) 292-2204
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
35908
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
540013900
—
MN
Enumeration date
01/06/2006
Last updated
06/09/2010
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