| Wallace E Radtke, MD | |
|
801 Broadway N, Fargo, ND 58102-3641 | |
| (701) 234-2371 | |
| (701) 234-3813 |
| Full Name | Wallace E Radtke |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine - Cardiovascular Disease |
| Location | 801 Broadway N, Fargo, North Dakota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134140353 | NPI | - | NPPES |
| 258285600 | Medicaid | MN | |
| 12479 | Medicaid | ND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RC0000X | Internal Medicine - Cardiovascular Disease | 3798 (North Dakota) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Wallace E Radtke, MD 801 Broadway N, Fargo, ND 58102-3641 Ph: (701) 234-2371 | Wallace E Radtke, MD 801 Broadway N, Fargo, ND 58102-3641 Ph: (701) 234-2371 |
Abdallah M Mansour, MD Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 3000 32nd Ave S, Fargo, ND 58103 Phone: 701-364-8900 | |
Gerald G Gross, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 820 4th St N, Fargo, ND 58102 Phone: 701-234-6161 | |
Paul James Carson, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 701-234-4811 Fax: 701-234-6979 | |
Howard L Russell, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 820 N 4th St, Fargo, ND 58122 Phone: 701-234-6161 Fax: 701-234-3861 | |
Stephen John Lee, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 2101 Elm Street N, Fargo, ND 58102 Phone: 701-239-3700 | |
Dr. Emuejevoke Joseph Okoh, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 701-234-2000 | |
Dr. Krishna Chaitanya Talluri, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 701-234-2731 |