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Individual

ADINE RODEMEYER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
975 PORT WASHINGTON RD, GRAFTON, WI 53024-9201
(262) 329-1000
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
52305
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100000844
WI
01
P01116566
RR MEDICARE
WI
Enumeration date
07/09/2006
Last updated
12/11/2024
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