Wallace E Radtke in Fargo - Cardiovascular Disease
Wallace E Radtke - NPI 1134140353
Wallace E Radtke is a Cardiovascular Disease in Fargo, North Dakota. Wallace E Radtke practices all healthcare services and medical treatments related to Cardiovascular Disease. The NPI Number for Wallace E Radtke is 1134140353. The last update date is 2012-05-02.
Wallace E Radtke's current location address is 801 Broadway N, Fargo, North Dakota. You can contact this provider via phone number 7012342371 and fax number 7012343813. The mailing address for Wallace E Radtke is 801 Broadway N, Fargo, North Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Wallace E Radtke |
|---|---|
| Address | 801 Broadway N, Fargo, North Dakota |
| Phone Number | 7012342371 |
| Fax Number | 7012343813 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1134140353 |
|---|---|
| Provider Enumeration Date | 2006-07-22 |
| Last Updated Date | 2012-05-02 |
Provider Mailing Address Detail
| Address | 801 Broadway N |
|---|---|
| City | Fargo |
| State | North Dakota (ND) |
| Post Code | 581023641 |
| Phone Number | 7012342371 |
| Fax Number | 7012343813 |
Provider's Primary Taxonomy Detail
| Speciality | Cardiovascular Disease |
|---|---|
| Taxonomy | 207Rc0000X |
| Licence No | 3798 |
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Definition: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 258285600 | MN | -- | |
| 12479 | ND | -- |
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What is the unique 10-digit identification code issued to Wallace E Radtke by the Centers for Medicare & Medicaid Services?
The Wallace E Radtke has been assigned the NPI (National Provider Identifier) 1134140353 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete address where Wallace E Radtke is physically located?
The Wallace E Radtke is situated at the following address: 801 Broadway N, Fargo, ND 581023641.
What is Wallace E Radtke's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Wallace E Radtke is Cardiovascular Disease, and the taxonomy classification code that categorizes this area of expertise is 207Rc0000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1134140353 to Wallace E Radtke?
The Centers for Medicare & Medicaid Services assigned the 1134140353 to Wallace E Radtke on 2006-07-22.
When was the information related to Wallace E Radtke most recently updated or refreshed?
The details pertaining to the Wallace E Radtke, including its address, specialty, and other relevant information, were last updated or refreshed on 2012-05-02.