KRISTEN RADTKE
Pediatrics
Active
Individual
NPI: 1700861119
Practice Address
3850 PARK NICOLLET BLVDPARK NICOLLET CLINIC SLP
St Louis Park, MN 55416
Phone: (952) 993-3123
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Pediatrics | 208000000X | Yes | 43772 (MN) |
Frequently Asked Questions
NPI 1700861119 is the National Provider Identifier for KRISTEN RADTKE, a Pediatrics provider located in St Louis Park, MN. This NPI was enumerated on December 8, 2005.
KRISTEN RADTKE practices at 3850 PARK NICOLLET BLVD, PARK NICOLLET CLINIC SLP, St Louis Park, MN 55416.
Quick Facts
- NPI
- 1700861119
- Type
- Individual
- Enumerated
- Dec 8, 2005
- Last Updated
- Jun 29, 2012
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