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Individual

MRS. SUSAN K RADTKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
F.N.P.

Contact information

Practice address
218 N MICHIGAN AVE, SHELBY, MI 49455-1028
(231) 861-2187
(231) 894-6248
Mailing address
1159 HOLTON WHITEHALL RD, WHITEHALL, MI 49461-9143
(231) 894-9167

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704153426
MI

Other

Enumeration date
06/21/2006
Last updated
07/08/2007
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