Individual
JULEE R RADTKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
111 ANNA ST, WATERLOO, WI 53594-1184
(920) 478-3776
(920) 478-3979
Mailing address
4260 S JORDAN DR, MC FARLAND, WI 53558-9057
(608) 835-7113
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
1357-033
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13998
DEAN HEALTH CARE
WI
01
—
20274908702
UNITY
WI
05
—
43882600
—
WI
Enumeration date
07/21/2006
Last updated
07/27/2011
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