Organization
NORMAN D. RADTKE, MD, PSC
Active
Other names
Retina Vitreous Resource Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NORMAN D. RADTKE M.D. (OWNER/PHYSICIAN)
(502) 636-2823
Entity
Organization
Contact information
Practice address
3 AUDUBON PLAZA DR, SUITE 240, LOUISVILLE, KY 40217-1319
(502) 636-2823
(502) 634-1646
Mailing address
3 AUDUBON PLAZA DR, SUITE 240, LOUISVILLE, KY 40217-1319
(502) 636-2823
(502) 634-1646
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
01035488A
IN
207W00000X
Ophthalmology Physician
20988
KY
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100003470A
—
IN
05
—
100003470B
—
IN
05
—
100003470D
—
IN
05
—
100003470F
—
IN
05
—
64209885
—
KY
Enumeration date
08/29/2006
Last updated
08/26/2020
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