Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
VICKIE RADISH, R.T.
ActiveVICKIE RADISH, R.T. is a 2471C3402X healthcare provider located in WAUWATOSA, Wisconsin. NPI 1558809020 is currently active in the NPPES registry. Verify at CMS.
2471C3402X · WAUWATOSA, WI
Registration Details
- NPI Number
- 1558809020
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 6, 2017 (9.4865280072469 yrs)
- Last Updated
- Feb 6, 2017
- Licenses
-
297648 (WI)297648 (WI)
Practice Information
- Address
-
2626 N 76TH STWAUWATOSA, WI, 532131137Browse WI providers · Browse ZIP 53213
- Phone
- 4147719171
- Primary Specialty
-
2471C3402X
2471C3402X
- Additional Specialty
- 2471C3402X
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.