Talmage J Raine M.D.

NPI 1902912678 - Plastic Surgery - 208200000X

NPI Details
NPI 1902912678
Gender Male
Enumeration Date 08/22/2006
Last Updated 07/20/2015
Entity Type Individual
Active Over 10 years ago
Practice Location
1405 W PARK ST
STE 206
URBANA IL, 61801-2367, US
Phone (217) 366-2650
Fax (217) 366-2652
Business Location
1405 W PARK ST
STE 206
URBANA IL, 61801-2367, US
Phone (217) 366-2650
Fax (217) 366-6106
Toxanomy
Taxonomy Code 208200000X
License State Illinois
License Number 36-057908
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According to our database, Talmage J Raine M.D. NPI is 1902912678, taxonomy code is 208200000X and license number is 36-057908, license state is located at Illinois. Talmage J Raine M.D. physically located at 1405 W Park St, Urbana IL, 61801-2367. NPI Number Talmage J Raine M.D. has the Individual type.

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1902912678 NPI number is provided on an as is basis without warranty of any kind. 1902912678 is maintained by the National Plan & Provider Enumeration System. The contents of Talmage J Raine M.D. are for informational purposes only.