Individual
DR. REBECCA MICHELLE RADUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1541 ANNEX RD, JEFFERSON, WI 53549-9803
(920) 723-7417
(734) 201-1918
Mailing address
1541 ANNEX RD, JEFFERSON, WI 53549-9803
(920) 723-7417
(734) 201-1918
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
65161-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100047644
—
WI
Enumeration date
04/03/2014
Last updated
05/22/2025
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