Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207VX0201X | Gynecologic Oncologist | 36510 | MO |
Y | 207VX0201X | Gynecologic Oncologist | 53539 | WI |
NPI | 1316965098 |
---|---|
Provider Name | Dr. Janet S Rader |
First Address | Milwaukee, WI 53226-3522 |
Second Address | Milwaukee, WI 53226-3522 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/07/2006 |
Last Update Date | 31/10/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
036069925 | (05) | IL |
1316965098 | (05) | WI |
202838603 | (05) | MO |
736011539 | (05) | WI |
D13451 | (02) |