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Individual

GARY L RADEMACHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1700 14TH AVE, NEBRASKA CITY, NE 68410-1146
(402) 873-4242
(402) 873-4227
Mailing address
8055 O ST, STE 300, LINCOLN, NE 68510-2580
(402) 421-0896
(402) 421-0945

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
12548
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00805
BCBS
NE
01
01-06556
UHC
NE
05
10025323000
NE
05
3958447
IA
01
4355
MIDLAND'S CHOICE
NE
Enumeration date
08/13/2006
Last updated
02/04/2008
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