Radtke, Staci Jo

Radtke, Staci Jo is an individual health care provider with primary practice located at 100 County Road B , Shawano WI 54166-7072. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Radtke, Staci Jo can be contacted via phone (715) 526-7308.

Contact Information

Primary practice address
100 County Road B Shawano WI 54166-7072
Phone: (715) 526-7308
Fax: (715) 526-9166
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 4264-33 Wisconsin

Profile Details

NPI number 1558662254
LBN Legal business name Radtke, Staci Jo
Credentials APNP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 11th, 2010
Last updated Jun 24th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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