NPI 1407112881

Phillip Michael Armand Radke, MD

Practitioner Ophthalmic Plastic and Reconstructive Surgery Physician Minnetonka, MN

Practice location

Address: 15111 Twelve Oaks Center Dr, Minnetonka, MN 55305-5202
Phone: (952) 993-4500
Mailing address: 8170 33rd Ave S # Ms 21110q, Bloomington, MN 55425-4516

Registered specialties (2)

Ophthalmic Plastic and Reconstructive Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207WX0200X Licence 64918 (MN)

Other Ophthalmology providers in Minnesota →

Ophthalmology Physician

Allopathic & Osteopathic Physicians Taxonomy 207W00000X Licence MD60668469 (WA)

Registry record

NPI: 1407112881
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Apr 2012
Record last updated: 31 Aug 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.