Individual
CHARLES R RADMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1704 COMMERCIAL CIR, WAMEGO, KS 66547-9690
(785) 456-2207
(785) 456-7932
Mailing address
1704 COMMERCIAL CIR, WAMEGO, KS 66547-9690
(785) 456-2207
(785) 456-7932
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0532864
KS
207Q00000X
Family Medicine Physician
200100183
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200537040A
—
KS
Enumeration date
10/17/2006
Last updated
07/10/2008
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