WALLACE E RADTKE

FARGO, ND
NPI1134140353
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207RC0000X Internal Medicine, Cardiovascular Disease
(Licence: ND  3798)
Enumeration Date2006-07-22
Last Update Date2012-05-02
Business Address
WALLACE E RADTKE MD
801 BROADWAY N
FARGO, ND 58102-3641
Phone number: 701-234-2371
Mailing Address
WALLACE E RADTKE MD
801 BROADWAY N
FARGO, ND 58102-3641
Phone number: 701-234-2371
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