Individual provider · Type 1 NPI
Susan A. Radtke, MD
Gynecology Physician · St. Clair Shores, MI
NPI number
1174531040
Active
Practice location
21321 Harper, Suite A
St. Clair Shores, MI 48080
Fax (586) 776-4910
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gynecology Physician Primary | 207VG0400X | 038554 (MI) |
Gynecology Physician: A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions.
About NPI 1174531040
Susan A. Radtke, MD's National Provider Identifier is 1174531040, issued on Aug 4, 2006. The primary taxonomy on file is Gynecology Physician (207VG0400X), and the practice location is in St. Clair Shores, MI. The record was last updated on Jul 8, 2007.