Individual
MICHELLE MARIE RADTKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP, FNP
Contact information
Practice address
130 2ND ST, NEENAH, WI 54956-2883
(920) 454-5007
Mailing address
130 2ND ST, NEENAH, WI 54956-2883
(920) 454-5007
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
10664-33
WI
Other
Enumeration date
01/11/2021
Last updated
11/17/2022
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