Individual
JOHN RAEDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
18653 WEDGE PKWY, SUITE 110, RENO, NV 89511-3323
(775) 352-7201
Mailing address
18653 WEDGE PKWY, SUITE 110, RENO, NV 89511-3323
(775) 352-7201
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
761
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100510794
—
NV
Enumeration date
07/07/2005
Last updated
04/02/2010
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