Individual
DENNIS EDWARD RADEMAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
9800 VALPARAISO DR, MUNSTER, IN 46321-4040
(219) 934-9800
(219) 934-9802
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
02004046A
IN
207K00000X
Allergy & Immunology Physician
036062659
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036062659
—
IL
05
—
201125390
—
IN
Enumeration date
03/08/2006
Last updated
10/16/2023
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