Individual
SUSANNE MARIE RADEMACHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
7421 PARKVIEW DR, SAINT PAUL, MN 55112-4118
(763) 784-1179
Mailing address
7421 PARKVIEW DR, SAINT PAUL, MN 55112-4118
(763) 784-1179
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
R0686178
MN
363LG0600X
Gerontology Nurse Practitioner
Primary
R68617-8
MN
Other
Enumeration date
05/08/2007
Last updated
03/15/2011
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