Susan A. Radtke, M.D., P.C.

LBN: Susan A. Radtke, M.D., P.C.
Susan A. Radtke, M.D., P.C. is an health care organization with primary practice located at 21321 Harper Ave Suite A, Saint Clair Shores MI 48080-2243. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as the primary health care specialty. Susan A. Radtke, M.D., P.C. can be contacted via phone (586) 776-0797, or through Radtke, Susan Anne via phone (586) 776-0797.

Contact Information

Primary practice address
21321 Harper Ave Suite A Saint Clair Shores MI 48080-2243
Phone: (586) 776-0797
Fax: (586) 776-4910
Website:
Map and Directions
Authorized official contact:
Name: Radtke, Susan Anne Doctor of Medicine (MD)
Phone: (586) 776-0797

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X

Profile Details

NPI number 1821256116
LBN Legal business name Susan A. Radtke, M.D., P.C.
DBA Doing business as
Authorized official Radtke, Susan Anne Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 23rd, 2008
Last updated Apr 24th, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1821256116 NPPES
Other 0500301 BCBS

Popular Providers