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Individual

DOUGLAS RADTKE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMT, BCTMB

Contact information

Practice address
6233 BANKERS RD, SUITE 12, MOUNT PLEASANT, WI 53403-9700
(262) 358-6730
Mailing address
6233 BANKERS RD, SITTE 12, MOUNT PLEASANT, WI 53403-9700
(262) 358-6730

Taxonomy

Speciality
Code
Description
License number
State
405300000X
Prevention Professional
Primary
4994-146
WI

Other

Enumeration date
03/01/2017
Last updated
03/01/2017
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