Provider Demographics
NPI:1528252350
Name:RADEMACHER, STEVEN EARL (MD)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:EARL
Last Name:RADEMACHER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1500 S 48TH ST
Mailing Address - Street 2:SUITE 506
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68506-1276
Mailing Address - Country:US
Mailing Address - Phone:402-489-1110
Mailing Address - Fax:402-489-8492
Practice Address - Street 1:1500 S 48TH ST
Practice Address - Street 2:SUITE 506
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68506-1276
Practice Address - Country:US
Practice Address - Phone:402-489-1110
Practice Address - Fax:402-489-8492
Is Sole Proprietor?:No
Enumeration Date:2007-09-05
Last Update Date:2008-01-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NE18669207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE47081642113Medicaid
NEG01701Medicare UPIN
NE47081642113Medicaid