Individual provider · Type 1 NPI
Jared Mark Radermacher, DC
Chiropractor · Verona, WI
NPI number
1548827017
Active
Practice location
600 W Verona Ave
Verona, WI 53593-8363
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 5455-12 (WI) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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About NPI 1548827017
Jared Mark Radermacher, DC's National Provider Identifier is 1548827017, issued on May 21, 2019. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Verona, WI. The record was last updated on Jun 3, 2019.