Individual
DANIEL WADE RADEMACHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
995 S CLARIZZ BLVD, BLOOMINGTON, IN 47401-5588
(812) 353-3060
Mailing address
995 S CLARIZZ BLVD, BLOOMINGTON, IN 47401-5588
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71008616A
IN
Other
Enumeration date
12/07/2018
Last updated
12/21/2020
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