Elizabeth Anne Radke, PA-C
Physician Assistant in Waconia, MN. Individual provider (NPI-1).
NPI number1124286901
StatusActive
Last updated in NPPESJul 13, 2009
Details
- NPI
- 1124286901
- Entity type
- Individual (NPI-1)
- Name
- Elizabeth Anne Radke
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 28, 2008
- Last updated
- Jul 13, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 1128 | MN | Yes |
Practice location
500 S Maple StWaconia, MN 55387-1752
Phone 952-442-2191
Mailing address
13599 Quentin Ave SSavage, MN 55378-1814
Phone 612-220-1891
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Other Physician Assistant providers in Waconia, MN
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All 26 Physician Assistant providers in Waconia · All 693 providers in Waconia
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