| Thomas J Radke Dds Sc | |
|
6919 W Forest Home Ave Greenfield WI 53220-2916 | |
| (414) 545-8226 | |
| (414) 543-4805 |
| Full Name | Thomas J Radke Dds Sc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 6919 W Forest Home Ave, Greenfield, Wisconsin |
| Authorized Official Name and Position | Thomas John Radke (PRESIDENT) |
| Authorized Official Contact | 4145458226 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas J Radke Dds Sc 6919 W Forest Home Ave Greenfield WI 53220-2916 Ph: (414) 545-8226 | Thomas J Radke Dds Sc 6919 W Forest Home Ave Greenfield WI 53220-2916 Ph: (414) 545-8226 |
| NPI Number | 1053447060 |
|---|---|
| Provider Enumeration Date | 02/26/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053447060 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 3977 (Wisconsin) | Primary |
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