OrganizationActive
Amanda Deremo
NPI 1922400563 · Exclusive Provider Organization · Janesville, WI
Provider details
- NPI number
- 1922400563
- Entity type
- Organization
- Primary specialty
- Exclusive Provider OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Amanda Deremo, Employer(608) 449-1399
- License
- 318603 (WI)
Specialties & taxonomies
Managed Care Organizations
Practice location
82 Falling Creek Cir
Janesville, WI 53548-9106
Phone: (608) 449-1399
Approximate (ZIP-level) locationGet directions
Mailing address
82 Falling Creek Cir
Janesville, WI 53548-9106
Registry dates
- Enumerated
- 2014-09-25
- Last updated
- 2014-09-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.