Organization
RICHARD W. RADEMACHER, JR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY L. OLEXA (OFFICE MANAGER)
(269) 983-7261
Entity
Organization
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
05/07/2008
Last updated
08/21/2012
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