| Provider / Organization | NPI | Date Certified |
|---|---|---|
| WADE H NEDDERMAN | 1649807181 | 2023-08-07 |
Wade H Nedderman is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1649807181. Registration indicates Wade H Nedderman is a provider of services with a specialization in Allopathic & Osteopathic Physicians, Radiology (Radiology: Vascular & Interventional Radiology, ) (Diagnostics/Imaging/Laboratory/Mammography, ) (Radiology Vascular & Interventional Radiology, Allopathic & Osteopathic Physicians) (Radiology, ) (Diagnostic Radiology (Radiology),, ) (Allopathic & Osteopathic Physicians, Radiology) (Radiology: Diagnostic Radiology, ) (Diagnostics/Imaging/Laboratory/Mammography, ) (Radiology Diagnostic Radiology, Allopathic & Osteopathic Physicians) (Radiology, )
| Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
| Entity Type | Individual |
| Provider Name | Wade H Nedderman MD |
| Practice Office Address | 200 1ST ST SW ROCHESTER, MN US |
| Practice Office Telephone | 5072842511 |
| Mailing Address | 200 1ST ST SW ROCHESTER, MN 559050001 US |
| Business Telephone | 5072842511 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 2401 S 31st St | Temple, TX 765080001 | 2547242364 |
| Direct Messaging Address [] | [email protected] |
| Code | Practice | License No State |
|---|---|---|
| 2085R0204X | Allopathic & Osteopathic Physicians Radiology Radiology: Vascular & Interventional Radiology Diagnostics/Imaging/Laboratory/Mammography Radiology Vascular & Interventional Radiology Allopathic & Osteopathic Physicians Radiology | 69643
MN |
| 2085R0202X PRIMARY | Diagnostic Radiology (Radiology), Allopathic & Osteopathic Physicians Radiology Radiology: Diagnostic Radiology Diagnostics/Imaging/Laboratory/Mammography Radiology Diagnostic Radiology Allopathic & Osteopathic Physicians Radiology | 69643
MN |