Timothy Grant Raines M.D.

NPI 1932305182 - Emergency Medicine - 207P00000X

NPI Details
NPI 1932305182
Gender Male
Enumeration Date 06/25/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
530 NE GLEN OAK AVE
PEORIA IL, 61603-3133, US
Phone (309) 655-2268
Fax
Business Location
4207 W HOLLOW CREEK DR
PEORIA IL, 61615-5635, US
Phone (765) 278-1323
Fax
Toxanomy
Taxonomy Code 207P00000X
License State
License Number
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According to our database, Timothy Grant Raines M.D. NPI is 1932305182, taxonomy code is 207P00000X Timothy Grant Raines M.D. physically located at 530 Ne Glen Oak Ave, Peoria IL, 61603-3133. NPI Number Timothy Grant Raines M.D. has the Individual type.

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1932305182 NPI number is provided on an as is basis without warranty of any kind. 1932305182 is maintained by the National Plan & Provider Enumeration System. The contents of Timothy Grant Raines M.D. are for informational purposes only.