| Doctor Name: | MARY E. RADEMAKER |
| NPI Number: | 1437321635 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | 26525 |
| Business Practice Address: | 10284 Shelbyville Rd Louisville, KY - 402232955 |
| Business Phone Number: | 5022445827 |
| Business Fax Number: | 5022445829 |
| Mailing Address: | Po Box 950245, LOUISVILLE |
| State: | KY |
| Postal Code: | 402950245 |
| Phone Number: | 5029696552 |
| Fax Number: | 5029693799 |
| NPI Enumeration Date: | 03/27/2008 |
| NPI Last Update Date: | 06/02/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 26525 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KY |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |