Elizabeth Anne Radke in Waconia - Physician Assistant
Elizabeth Anne Radke - NPI 1124286901
Elizabeth Anne Radke is a Physician Assistant in Waconia, Minnesota. Elizabeth Anne Radke practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Elizabeth Anne Radke is 1124286901. The last update date is 2009-07-13.
Elizabeth Anne Radke's current location address is 500 S Maple St, Waconia, Minnesota. You can contact this provider via phone number 9524422191. The mailing address for Elizabeth Anne Radke is 500 S Maple St, Waconia, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Elizabeth Anne Radke |
|---|---|
| Address | 500 S Maple St, Waconia, Minnesota |
| Phone Number | 9524422191 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1124286901 |
|---|---|
| Provider Enumeration Date | 2008-05-28 |
| Last Updated Date | 2009-07-13 |
Provider Mailing Address Detail
| Address | 500 S Maple St |
|---|---|
| City | Waconia |
| State | Minnesota (MN) |
| Post Code | 553871752 |
| Phone Number | 9524422191 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 1128 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Elizabeth Anne Radke?
The Elizabeth Anne Radke has been issued the NPI (National Provider Identifier) 1124286901 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Elizabeth Anne Radke's facilities are geographically located?
The facilities of Elizabeth Anne Radke are physically situated at the following location: 500 S Maple St, Waconia, MN, 553871752.
What is the area of specialization for Elizabeth Anne Radke, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Elizabeth Anne Radke is Physician Assistant, and the corresponding taxonomy code that categorizes this area of expertise is 363A00000X.
On what date did the Elizabeth Anne Radke receive the assignment of its 1124286901 from the Centers for Medicare & Medicaid Services?
The Elizabeth Anne Radke was issued its 1124286901 by the Centers for Medicare & Medicaid Services on 2008-05-28.
As of what date were the details related to Elizabeth Anne Radke most recently updated or revised?
The information pertaining to Elizabeth Anne Radke, including its address, specialty, and other relevant details, was last updated or revised on 2009-07-13.