Individual
JOSEPH RADTKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
510 BUTLER AVE, MARTINSBURG, WV 25401-9990
(304) 263-0811
Mailing address
PO BOX 4122, MARTINSBURG, WV 25402-4122
(304) 264-8133
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
DO31810
DC
Other
Enumeration date
01/14/2006
Last updated
07/08/2007
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