Individual
DR. H. KARL RADKE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5000 BLACKMORE RD, CASPER, WY 82609-3345
(307) 233-6000
Mailing address
5000 BLACKMORE RD, CASPER, WY 82609-3345
(307) 233-6000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
04-28627
KS
207Q00000X
Family Medicine Physician
Primary
8646A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100371230A
—
KS
Enumeration date
09/25/2006
Last updated
01/30/2023
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