Individual
DR. RANDALL S NEMEROVSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8400 WASHINGTON AVE, MOUNT PLEASANT, WI 53406-3735
(262) 884-4000
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
036-062736
IL
207L00000X
Anesthesiology Physician
Primary
42696
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036062736 1
—
IL
05
—
24148800
—
WI
05
—
34148800
—
WI
01
—
NEMERRAN
MERCYCARE INSURANCE
WI
Enumeration date
12/05/2006
Last updated
12/03/2025
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