GRANT KEITH RADERMACHER (NPI# 1790204832) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790204832 |
| Entity Type | Individual |
| Full Name | GRANT KEITH RADERMACHER |
| Credential | DC |
| Practice Address |
16620 W Bluemound Rd Brookfield WI 53005-5966 |
| Practice Telephone | (262) 345-4166 |
| Mailing Telephone | 2623454166 |
| Enumeration Date | 2017-09-10 |
| Last Update Date | 2017-09-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 4707 | WI | Chiropractic Providers |
| Street Address |
16620 W BLUEMOUND RD |
| City | BROOKFIELD |
| State | WI |
| Zip Code | 53005-5966 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154937621 | Nsk Precision Healing & Wellness | Acupuncturist | 17040 W. Greenfield Ave #6, Brookfield, WI 53005 | 2020-09-21 |
| 1033772124 | Dbt Consultants LLC | Social Worker | 200 S. Executive Drive, Ste. 101, Brookfield, WI 53005 | 2019-04-15 |
| 1780142588 | Ashley Wing | Registered Nurse | 405 Bishops Way, Apt 555, Brookfield, WI 53005 | 2019-03-11 |
| 1407370398 | Tombolo, LLC | Clinic/Center | 12545 W. Burleigh Rd., Suite 10, Brookfield, WI 53005 | 2017-08-01 |
| 1720509045 | Rss William Conner LLC | Dentist | 15455 W Bluemound Rd Ste 250, Brookfield, WI 53005 | 2017-06-28 |
| 1669926598 | Mackenzie Rondeau | Physical Therapist | 1905 N Calhoun Rd Ste 105, Brookfield, WI 53005 | 2016-08-09 |
| 1699159319 | Charles Alan Kass | Dentist | 12720 W. North Avenue, Brookfield, WI 53005 | 2015-07-13 |
| 1164804274 | Mary-catherine Nimphius | Counselor | 250 S. Sunny Slope Rd, #128, Brookfield, WI 53005 | 2015-06-25 |
| 1528447034 | Weighless Md, LLC | Dietitian, Registered | 14960 W. Greenfield Ave Suite 104, Brookfield, WI 53005 | 2015-05-29 |
| 1366837346 | Maegan Michelle Cook | Dentist | 13780 W Greenfield Ave Ste 780, Brookfield, WI 53005 | 2015-04-06 |
| Find all providers in zip 53005 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295378875 | Lifeclinic of Wi Sc | Chiropractor | 17585 Golf Pkwy, Brookfield, WI 53045-2948 | 2019-10-25 |
| 1811462971 | Zachary Ivan Kienol | Chiropractor | 150 S Sunny Slope Rd Ste 148, Brookfield, WI 53005-6461 | 2018-10-04 |
| 1912408246 | Adam Cosson | Chiropractor | 19575 Janacek Ct Ste 103, Brookfield, WI 53045-7101 | 2018-02-22 |
| 1699282632 | Ascent Chiropractic LLC | Chiropractor | 16620 W Bluemound Rd # 405, Brookfield, WI 53005-5966 | 2017-12-29 |
| 1114453701 | Victoria Sandstrom | Chiropractor | 21150 W Capitol Dr, Suite 5, Brookfield, WI 53072-2911 | 2017-05-03 |
| 1114452091 | North Point Chiropractic LLC | Chiropractor | 21150 Capitol Dr, Suite 5, Brookfield, WI 53072-2911 | 2017-04-27 |
| 1740737519 | Steffen Mccullough | Chiropractor | 21180 W Capitol Dr Ste 3, Brookfield, WI 53072-2917 | 2016-09-08 |
| 1740652817 | Christopher Proulx | Chiropractor | 88 Garney Rd, Brookfield, NH 03872-7407 | 2015-10-28 |
| 1407235674 | Wilson Chiropractic LLC | Chiropractor | 19265 W Capitol Dr, Unit B, Brookfield, WI 53045-2740 | 2015-05-21 |
| 1548656739 | Jonathan Stevenson | Chiropractor | 19555 W Bluemound Rd, Ste 6, Brookfield, WI 53045-5934 | 2015-04-14 |
| Find all providers in BROOKFIELD | ||||
| City | BROOKFIELD |
| Zip Code | 53005 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.