Individual
MICHELLE RADKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
17280 W NORTH AVE, #104, BROOKFIELD, WI 53045-4366
(262) 780-0707
Mailing address
17280 W NORTH AVE, #104, BROOKFIELD, WI 53045-4366
(262) 780-0707
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
905
WI
Other
Enumeration date
08/06/2007
Last updated
08/06/2007
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