SUSAN A RADTKE MD
NPI 1174531040
Obstetrics & Gynecology - Gynecology in St. Clair Shores, MI

Q: What is Susan Radtke's NPI number?

The NPI number for Susan Radtke is 1174531040. It was assigned to this individual provider in the NPPES registry on August 4, 2006.

Q: What is Susan Radtke's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

Q: When was this NPI record last updated?

The NPPES record for Susan Radtke was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 04, 2006

21321 HARPER, SUITE A, ST. CLAIR SHORES, MI 48080(586) 776-0797(586) 776-4910 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Susan A Radtke Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUSAN A RADTKE MD (NPI 1174531040) is an individual gynecology provider in St. Clair Shores, Michigan, licensed in Michigan (038554) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1174531040

Entity TypeIndividualFemale

Primary Taxonomy207VG0400X

Provider Legal NameSUSAN A RADTKECredential: MD

Location Address21321 HARPER, SUITE ASt. Clair Shores, MI 48080

Mailing Address21321 Harper, Suite ASt. Clair Shores, MI 48080 · (586) 776-0797 · Fax (586) 776-4910

Phone(586) 776-0797

Fax(586) 776-4910

Sole ProprietorNo

Enumeration DateAugust 4, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1174531040 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207VG0400X

License✔ Licensed in MI · 038554

Definition

A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee

21321 HARPER, St. Clair Shores, MI 48080

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Other Identifiers 3

Medicaid2912609MI

Medicare ID-Type Unspecified08277832161

Medicare UPINA76146

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Susan Radtke's NPI number?

The NPI number for Susan Radtke is 1174531040. It was assigned to this individual provider in the NPPES registry on August 4, 2006.

Where is Susan Radtke located?

Susan Radtke practices at 21321 Harper Suite A, St. Clair Shores, MI 48080. The listed phone number is (586) 776-0797.

What is Susan Radtke's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

When was this NPI record last updated?

The NPPES record for Susan Radtke was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.