Individual
MICHELLE M RADKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1711 GOLD DRIVE SOUTH SUITE 160, FARGO, ND 58103
(701) 234-9400
(701) 234-9401
Mailing address
1711 GOLD DRIVE SOUTH SUITE 160, FARGO, ND 58103
(701) 234-9400
(701) 234-9401
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ND8452
ND
Other
Enumeration date
10/02/2006
Last updated
07/09/2007
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