Individual
TAMMY RADIONOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
400 HOBART ST, CADILLAC, MI 49601-2331
(231) 876-6421
(231) 876-6430
Mailing address
400 HOBART ST, CADILLAC, MI 49601-2331
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
470280351
MI
363L00000X
Nurse Practitioner
4704280351
MI
Other
Enumeration date
08/11/2018
Last updated
01/05/2023
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