Organization
OMNIA WELLNESS AND RECOVERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BLAKE STEVEN RADTKE (OWNER OF OMNIA WELLNESS AND RECOVER)
(320) 491-0321
Entity
Organization
Contact information
Practice address
4632 W 6TH ST, DULUTH, MN 55807-2015
(320) 491-0321
Mailing address
4632 W 6TH ST, DULUTH, MN 55807-2015
(320) 491-0321
Taxonomy
Speciality
Code
Description
License number
State
2081N0008X
Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
Other
Enumeration date
10/07/2024
Last updated
10/07/2024
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