Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 01068227A | IN |
N | 207X00000X | Orthopaedic Surgeon | 125-049774 | IL |
N | 207X00000X | Orthopaedic Surgeon | 56209 | WI |
Y | 2086S0105X | Surgery of the Hand | 56209 | WI |
NPI | 1063625648 |
---|---|
Provider Name | Aundrea Rainville |
First Address | Eau Claire, WI 54702-1510 |
Second Address | Eau Claire, WI 54703 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/05/2007 |
Last Update Date | 14/09/2020 |