Individual
DR. PHILLIP MICHAEL ARMAND RADKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
15111 TWELVE OAKS CENTER DR, MINNETONKA, MN 55305-5202
(952) 993-4500
Mailing address
8170 33RD AVE S # MS 21110Q, BLOOMINGTON, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
MD60668469
WA
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
Primary
64918
MN
Other
Enumeration date
04/10/2012
Last updated
08/31/2023
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