Organization
NORMAN D. RADTKE, MD, PSC
Active
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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