NPI 1407396013
Douglas Radtke, LMTBCTMB
Practice location
- Address
- 6233 Bankers Rd Suite 12, Mount Pleasant, WI 53403-9700
- Phone
- (262) 358-6730
- Mailing address
- 6233 Bankers Rd Sitte 12, Mount Pleasant, WI 53403-9700
Registered specialties
Prevention Professional
Primary
Registry record
- NPI
- 1407396013
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 1 Mar 2017
- Record last updated
- 1 Mar 2017
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.