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Organization
SUSAN A. RADTKE, M.D., P.C.
Active
Organization
SUSAN A. RADTKE, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN ANNE RADTKE MD (PRESIDENT)
(586) 776-0797
Entity
Organization
Contact information
Practice address
21321 HARPER AVE, SUITE A, SAINT CLAIR SHORES, MI 48080-2243
(586) 776-0797
(586) 776-4910
Mailing address
21321 HARPER AVE, SUITE A, SAINT CLAIR SHORES, MI 48080-2243
(586) 776-0797
(586) 776-4910
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
NULL
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
05/23/2008
Last updated
04/24/2012
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