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Individual

DR. JEREMY WAYNE RADEMACKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
200 STERLING DR, STE 400, ORCHARD PARK, NY 14127-1577
(716) 675-5544
(716) 675-5546
Mailing address
200 STERLING DR, STE 400, ORCHARD PARK, NY 14127-1577
(716) 675-5544
(716) 675-5546

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X008352-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
C08352-9
WORKER'S COMPENSATION
NY
Enumeration date
03/29/2007
Last updated
07/07/2015
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