Individual
BRYNN RADTKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
1818 N MEADE ST, APPLETON, WI 54911-3454
(920) 731-4101
Mailing address
820 1/2 W PROSPECT AVE, APPLETON, WI 54914-5415
(715) 610-7351
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
18611-33
WI
Other
Enumeration date
07/13/2026
Last updated
07/13/2026
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