National Provider Identifier Database

PHILLIP M RADKE, MD – NPI #1407112881
Ophthalmic Plastic and Reconstructive Surgery

A physician who specializes in oculofacial plastic and reconstructive surgery. This subspecialty combines orbital and periocular surgery with facial plastic surgery, and includes aesthetic and reconstructive surgery of the face, orbit, eyelid, and lacrimal system. Practitioners evaluate, diagnose and treat conditions involving the eyelids, brows, midface, orbits, lacrimal systems and surrounding and supporting structures of the face and neck.


Contact Information

PHILLIP M RADKE, MD
15111 TWELVE OAKS CENTER DR
MINNETONKA, MN55305-5202
Phone: 952-993-4500
Fax:
Website:
Specialty Taxonomy Code
* Ophthalmic Plastic and Reconstructive Surgery 207WX0200X
Ophthalmology 207W00000X

* Indicates primary specialty

NPI Profile & details for PHILLIP M RADKE

NPI Number 1407112881
Credentials MD
Entity Individual
Enumeration date 04/10/2012
Last updated 08/31/2023 - About 3 years ago
Sole proprietor1 No
Identifiers
  • MN License #: 64918
  • WA License #: MD60668469
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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