SearchWisconsinPrevention Professional

Douglas Radtke, LMT, BCTMB

NPI 1407396013 · on the registry since 2017 · sole proprietor

Practice

Address
6233 Bankers Rd
Suite 12
Mount Pleasant, WI 53403
Phone
(262) 358-6730
Organisation at this address
Sanan Llc
Branko Prpa Md Llc
Merit Dermatology, S.C.
Great Lakes Dermatology Sc
De Witt Physical Therapy & Wellness Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
Prevention Professional
405300000X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2017-03-01

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