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JULEE R RADTKE NP

Adult Health >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1235150046

Individual Registrant:
 JULEE R RADTKE NP
Gender: F
Not Sole Proprietor

Location and contact information for practice:
111 ANNA ST  WATERLOO, WI 53594-1184 US
Tel: 920-478-3776  Fax: 920-478-3979

Contact information for business:
4260 S JORDAN DR  MC FARLAND, WI 53558-9057 US
Tel: 608-835-7113  Fax: --

Registration Information:
NPI: 1235150046
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LA2200XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Adult Health
WI1357-033

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
43882600WI05
DEAN HEALTH CARE13998WI01
UNITY20274908702WI01




HEALTH CARE JOBS WI - Page 1



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