Mark Radtke

NPI 1093114316 · on the registry since 2014 · sole proprietor

Practice

Address: N65w24838 Main St
Sussex, WI 53089
Phone: (262) 820-0200
Organisation at this address: Fhhp Sussex Llc
Aurora Pharmacy Inc
Roundys Supermarkets Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 8

Registry record

Primary taxonomy: 183500000X
183500000X
Licence states on file: WI
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2014-08-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin