Individual
CAROLYN RAE RADERMACHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1406 6TH AVE N, SAINT CLOUD, MN 56303-1901
(320) 656-7020
Mailing address
1406 6TH AVE N, SAINT CLOUD, MN 56303-1901
(320) 656-7020
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
F08221043
MN
Other
Enumeration date
05/25/2023
Last updated
05/25/2023
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