Individual
ANDREW CHANDLER RADTKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1821 S WEBSTER AVE, GREEN BAY, WI 54301-2253
(920) 496-4700
Mailing address
PO BOX 19070, GREEN BAY, WI 54307-9070
(920) 496-4700
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
036148982
IL
208800000X
Urology Physician
64600-20
WI
Other
Enumeration date
04/02/2014
Last updated
09/26/2024
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