Individual
DR. JEFFREY D RADAWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3535 N BELL SCHOOL RD, ROCKFORD, IL 61114-6624
(779) 696-9400
Mailing address
200 N PARK ST, KALAMAZOO, MI 49007-3731
(269) 373-7488
(269) 373-0123
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
036168582
IL
2085R0001X
Radiation Oncology Physician
57.013354
OH
208600000X
Surgery Physician
57.013354
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1588778484
BCBSM - WMCC
MI
05
—
1750557047
—
MI
Enumeration date
05/06/2008
Last updated
04/23/2024
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