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Individual

JAMES R RADEMACHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
180 S STANFIELD RD, TROY, OH 45373-0106
(937) 335-9020
(937) 335-6684
Mailing address
4445 LAKE FOREST DR STE 600, BLUE ASH, OH 45242-3744
(513) 515-6172
(937) 335-6684

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
26886
SC
207W00000X
Ophthalmology Physician
Primary
35089288
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
20036127
SELECT HEALTH
SC
05
268864
SC
01
7439590
AETNA
SC
01
9624212
GHI
SC
01
P00127042
RAILROAD MEDICARE
SC
Enumeration date
05/27/2005
Last updated
09/16/2020
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