| Pkr Endodontics, P.c. | |
|
8809 W 400 N Michigan City IN 46360-9330 | |
| (219) 879-2300 | |
| (219) 879-6420 |
| Full Name | Pkr Endodontics, P.c. |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 8809 W 400 N, Michigan City, Indiana |
| Authorized Official Name and Position | Philip Karl Radtke (PRESIDENT) |
| Authorized Official Contact | 2198792300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pkr Endodontics, P.c. 8809 W 400 N Michigan City IN 46360-9330 Ph: (219) 879-2300 | Pkr Endodontics, P.c. 8809 W 400 N Michigan City IN 46360-9330 Ph: (219) 879-2300 |
| NPI Number | 1669569893 |
|---|---|
| Provider Enumeration Date | 10/09/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669569893 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | 12009839A (Indiana) | Primary |
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