Susan A Radtke
Gynecologist
21321 Harper Suite A
StClair Shores
, Michigan 48080
Susan A Radtke
Gynecologist
21321 Harper Suite A
StClair Shores
, Michigan 48080
(586) 776-4910
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About
Features
Specialties
- Gynecologist
Languages spoken
- English
Location
First Address
- Susan A Radtke
- 21321 Harper Suite A
- St. Clair Shores, MI
- Zip : 48080
- Fax : (586) 776-4910
- Phone : (586) 776-0797
Second Address
- Susan A Radtke
- 21321 Harper Suite A
- St. Clair Shores, MI
- Zip : 48080
- Fax : (586) 776-4910
- Phone : (586) 776-0797
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Is Susan A Radtke accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207VG0400X | Gynecologist | 038554 | MI |
National Provider Identifier
| NPI | 1174531040 |
|---|---|
| Provider Name | Susan A Radtke |
| First Address | St. Clair Shores, MI 48080 |
| Second Address | St. Clair Shores, MI 48080 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/08/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 2912609 | (05) | MI |
| A76146 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.