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Contact Information

PHILLIP M RADKE, MD
15111 TWELVE OAKS CENTER DR
MINNETONKA, MN55305-5202
 Phone: 952-993-4500
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmic Plastic and Reconstructive Surgery

207WX0200X 18 Physician/Ophthalmology
 

Ophthalmology

207W00000X 18 Physician/Ophthalmology
Indicates primary specialty

NPI Profile & details for PHILLIP M RADKE · (Male)

NPI # 1407112881
Status Active
Credentials MD
Entity Individual
Enumeration date 04/10/2012
Last updated 08/31/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 64918
  • WA License # MD60668469
Hospital affiliation(s)
  • FAIRVIEW RIDGES HOSPITAL - (Acute Care)
    201 EAST NICOLLET BOULEVARD
    BURNSVILLE, MN 55337
  • FAIRVIEW SOUTHDALE HOSPITAL - (Acute Care)
    6401 FRANCE AVENUE SOUTH
    EDINA, MN 55435
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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