Individual
ABIGAIL ELIZABETH VAUTRAIN
Active
Individual
ABIGAIL ELIZABETH VAUTRAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD172130
OR
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
85866-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
096511
—
OR
05
—
22959
—
OR
Enumeration date
06/22/2010
Last updated
06/24/2025
Update your record
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