ANDREW CHANDLER RADTKE


Address: 1821 S Webster Ave, Green Bay, WI 54301-2253
Phone: 9204964700

ANDREW CHANDLER RADTKE (NPI# 1710305123) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1710305123
Entity Type Individual
Full Name ANDREW CHANDLER RADTKE
Credential MD
Practice Address 1821 S Webster Ave
Green Bay
WI 54301-2253
Mailing Address Po Box 19070
Green Bay
WI 54307-9070
Practice Telephone 9204964700
Mailing Telephone 9204964700
Enumeration Date 2014-04-02
Last Update Date 2020-07-21
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208800000X Urology 036148982 IL Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
2160 S 1st Ave, Maywood, IL 601533328 7082169000

Office Location

Street Address 1821 S WEBSTER AVE
City GREEN BAY
State WI
Zip Code 54301-2253

Providers in the same location

NPI Name Taxonomy Address Enumeration
1821091679 Jerald P Marifke Internal Medicine 1821 S Webster Ave, Green Bay, WI 54301-2253 2005-05-24
1144858713 Dawn P Mccullough Nurse Practitioner 1821 S Webster Ave, Green Bay, WI 54301-2253 2020-03-30
1881230266 Kasey Jankowski Physician Assistant 1821 S Webster Ave, Green Bay, WI 54301-2253 2019-11-21
1699247486 Erin Joanne Broda Advanced Practice Midwife 1821 S Webster Ave, Green Bay, WI 54301-2253 2018-12-18
1467928440 Ashley Naas Physical Therapist 1821 S Webster Ave, Green Bay, WI 54301-2253 2018-10-17
1689167942 Marissa Adrian Physician Assistant 1821 S Webster Ave, Green Bay, WI 54301-2253 2018-06-12
1427585736 Nicole Will Physical Medicine & Rehabilitation 1821 S Webster Ave, Green Bay, WI 54301-2253 2017-05-17
1588111215 Jennifer Gibbons Registered Nurse 1821 S Webster Ave, Green Bay, WI 54301-2253 2016-09-11
1639520414 Lauren Isabel Useem Obstetrics & Gynecology 1821 S Webster Ave, Green Bay, WI 54301-2253 2016-06-23
1437506110 Jessica Zarzecki Physician Assistant 1821 S Webster Ave, Green Bay, WI 54301-2253 2016-05-23
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1386102465 Parc Village Dental, LLC Dentist 2805 Libal Street, Suite A, Green Bay, WI 54301 2019-03-07
1598229478 Shaina Marie Conner Registered Nurse 835 S Vanburen St, Green Bay, WI 54301 2019-01-25
1093298960 Brown County Case Management 111 N. Jefferson Street, Green Bay, WI 54301 2018-09-07
1639609928 Frontline Healthcare LLC Specialist/Technologist, Other 2221 S. Webster Ave. Suite 270, Greenbay, WI 54301 2017-06-19
1992242606 Charmaine Rimple Counselor 526 South Monroe Avenue, Green Bay, WI 54301 2017-01-20
1962944819 Rebecca Lucille Reinbold Registered Nurse 917 Catherine Street, Green Bay, WI 54301 2016-11-09
1730635061 Melissa Kristof Specialist/Technologist, Other 1821 Sounth Webster Ave., Green Bay, WI 54301 2016-08-28
1255709747 Vivian Sweetheart Bishop-cook Counselor 2920 South Webster Ave, Green Bay, WI 54301 2015-09-14
1881079960 Chelsi S Weber Registered Nurse 2300 Riverside Dr., Ste 204, Green Bay, WI 54301 2015-07-30
1962816371 Joelle M Hesse Counselor 630 Cherry St., Green Bay, WI 54301 2014-06-13
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Taxonomy Information

Taxonomy Code 208800000X
Grouping Allopathic & Osteopathic Physicians
Classification Urology

Taxonomy Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1710293105 Charles Copland Smith Urology 674 Sunset Circle, Green Bay, WI 54301 2010-08-24
1689991200 Sean Brady Mcadams Urology 720 S Vanburen Street, Suite 301, Green Bay, WI 54301 2010-04-21
1740226265 Myron M Marlett Urology 2845 Greenbrier Rd Ste 240, Green Bay, WI 54311-6519 2006-06-22
1871988634 Joshua T Piotrowski Urology 2845 Greenbrier Rd, Green Bay, WI 54311-6519 2015-03-30
1134446339 Christopher J Keto Urology 2845 Greenbrier Rd, Green Bay, WI 54311-6519 2010-04-27
1235399536 Vannhu Nguyen Urology 2845 Greenbrier Rd, Ste 240, Green Bay, WI 54311-6519 2008-06-11
1609085612 Michael Charles Mcmanus Urology 720 S Van Buren St, Ste 301, Green Bay, WI 54301-3538 2007-05-22
1013139641 Heather M Stefaniak Urology 2845 Greenbrier Rd Ste 240, Green Bay, WI 54311-6519 2007-05-03
1043344005 Richard Windsor Urology 2845 Greenbrier Rd, Suite 240, Green Bay, WI 54311-6519 2007-03-14
1992723233 Thomas Robert Schlueter Urology 1715 Dousman St, Green Bay, WI 54303-3211 2006-07-17
Find all providers in GREEN BAY

Competitor

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City GREEN BAY
Zip Code 54301

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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