SUSAN A. RADTKE MD – NPI #1174531040
Obstetrics & Gynecology

A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions.

SUSAN RADTKE is a physician located in SAINT CLAIR SHORES, MI. NPPES has assigned the NPI number 1174531040 to SUSAN RADTKE on August 04, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207VG0400X from the Health Care Provider Taxonomy code set, which is classified as Obstetrics & Gynecology, specializing in Gynecology

The NPI profile was previously updated about 19 years ago on Jul 08, 2007. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SUSAN RADTKE below.

NPI Profile for
SUSAN A. RADTKE

NPI Number
1174531040
Enumeration Date

(about 20 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
SUSAN A. RADTKE
Credentials
MD
Primary location
21321 HARPER
SUITE A
SAINT CLAIR SHORES, MI 48080
Phone: (586) 776-0797 Fax: (586) 776-4910
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Identifiers

Identifiers for SUSAN RADTKE

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDMI2912609
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207VG0400X
- Obstetrics & Gynecology / Gynecology (Primary)
MI 038554

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.