Individual
DR. WESTON WILLIAM RADFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1855 S KOELLER ST, OSHKOSH, WI 54902-6186
(920) 223-7100
(920) 223-7462
Mailing address
1855 S KOELLER ST, OSHKOSH, WI 54902-6186
(920) 223-7100
(920) 223-7462
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
65358-20
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100058224
—
WI
Enumeration date
04/11/2013
Last updated
08/03/2016
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