Individual
JESSICA RADERMACHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
122 COLFAX AVE SW, WADENA, MN 56482-1470
(320) 815-8072
Mailing address
421 11TH ST NW, WADENA, MN 56482-1044
(218) 631-3510
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
12873
MN
363A00000X
Physician Assistant
—
—
Other
Enumeration date
11/12/2018
Last updated
06/16/2026
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