Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
WALLACE E RADTKE, MD
ActiveCardiovascular Disease · FARGO, ND
Registration Details
- NPI Number
- 1134140353
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 22, 2006 (19.799898142672 yrs)
- Last Updated
- May 2, 2012
- License
-
3798 (ND)
Practice Information
- Address
-
801 BROADWAY NFARGO, ND, 581023641Browse ND providers · Browse ZIP 58102
- Phone
- 7012342371
- Fax
- 7012343813
- Primary Specialty
-
Cardiovascular Disease
207RC0000X
Other Cardiovascular Disease Providers in FARGO, ND
| Name | Credential | NPI |
|---|---|---|
| TAYLOR F DOWSLEY | M.D. | 1518926534 |
| DR. LARRY STEVEN SIDAWAY | DO | 1841245743 |
| GARFIELD M GRIMMETT | MD | 1124063334 |
| JOHN J RAGAN | MD | 1831122738 |
| SUSAN I FARKAS | MD | 1275568933 |
| JOHN L CRARY | MD | 1568489565 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.