Individual
DR. RICHARD W. RADEMACHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
717 COLUMBIA AVE, SAINT JOSEPH, MI 49085-2457
(269) 983-7261
(269) 983-0997
Mailing address
717 COLUMBIA AVE, SAINT JOSEPH, MI 49085-2457
(269) 983-7261
(269) 983-0997
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901002496
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
943155278
—
MI
Enumeration date
05/12/2006
Last updated
08/01/2012
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