Individual
THOMAS JAY RAIFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
105 STANDISH CT, MADISON, WI 53705-5131
(319) 541-5573
Mailing address
105 STANDISH CT, MADISON, WI 53705-5131
(319) 541-5573
Taxonomy
Speciality
Code
Description
License number
State
207ZB0001X
Blood Banking & Transfusion Medicine Physician
Primary
36858
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1114454
—
IA
05
—
2114454
—
IA
01
—
33948
WELLMARK BCBS
IA
01
—
40227
WELLMARK BCBS
IA
Enumeration date
10/10/2005
Last updated
07/01/2024
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