Provider Demographics
NPI:1881644094
Name:RAYL, JEFFREY H (DO)
Entity Type:Individual
Prefix:
First Name:JEFFREY
Middle Name:H
Last Name:RAYL
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1324 5TH NORTH STREET
Mailing Address - Street 2:
Mailing Address - City:NEW ULM
Mailing Address - State:MINNESOTA
Mailing Address - Zip Code:56073
Mailing Address - Country:UM
Mailing Address - Phone:507-233-1344
Mailing Address - Fax:
Practice Address - Street 1:1324 5TH NORTH ST
Practice Address - Street 2:
Practice Address - City:NEW ULM
Practice Address - State:MN
Practice Address - Zip Code:56073-1514
Practice Address - Country:US
Practice Address - Phone:507-233-1344
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-10
Last Update Date:2011-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN43774207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
G64522Medicare UPIN