Thomas J. Radke, DDS

NPI #1326191099 in Greenfield, Wisconsin

Provider Information

NPI Number: 1326191099
Entity Type: Individual
Name: Thomas J. Radke, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Jan 18, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 6919 W FOREST HOME AVE
City: Greenfield
State: Wisconsin
ZIP Code: 53220-2916
Phone: (414) 545-8226

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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