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Individual

DR. CHAD RADECKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1919 VETERANS MEMORIAL BLVD STE 305, KENNER, LA 70062-4023
(504) 399-1161
Mailing address
45 MARTIN DR, NEW ORLEANS, LA 70126-1608

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
07/09/2021
Last updated
10/18/2022
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