Individual
MARY E RAEMISCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2000 FORDEM AVE, MADISON, WI 53704-4600
(608) 280-2787
Mailing address
25 KESSEL CT, MADISON, WI 53711-6227
(608) 280-2700
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
118442
WI
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
118442
WI
Other
Enumeration date
04/06/2023
Last updated
04/06/2023
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