# DEAN WILLIAM RODEMACK

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1548543424
- **Gender:** Man
- **Credential:** PA-C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | PA-1020 | ID | Yes |
| 363AS0400X | Surgical Physician Assistant | PA60245393 | WA | — |

## Other

- **Enumeration date:** 09/27/2011
- **Last updated:** 04/08/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0285610 | LABOR & INDUSTRIES | WA |
| 05 | — | 158543424 | — | WA |