Individual
DR. JENNIFER L RADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
235 E STATE ST, SAINT CROIX FALLS, WI 54024-4117
(715) 483-3221
(715) 483-0507
Mailing address
235 E STATE ST, SAINT CROIX FALLS, WI 54024-4117
(715) 483-3221
(715) 483-0507
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
49251
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00496
MEDICARE GROUP
WI
01
—
1047147
PREFERRED ONE
—
05
—
34562700
—
WI
01
—
49170
MEDICARE GROUP
WI
01
—
539G5VE
BCBS MN
—
Enumeration date
06/28/2006
Last updated
10/20/2022
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