Wallace E Radtke, MD - Internal Medicine in Fargo, ND

Wallace E Radtke, MD is a Internal Medicine - Cardiovascular Disease physician based in Fargo, North Dakota. Wallace E Radtke is licensed to practice in North Dakota (license number 3798) and his current practice location is 801 Broadway N, Fargo, North Dakota. He can be reached at his office (for appointments etc.) via phone at (701) 234-2371.

NPI number for Wallace E Radtke is 1134140353 and his current mailing address is 801 Broadway N, Fargo, North Dakota. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1134140353.

Contact Information

Wallace E Radtke, MD
801 Broadway N,
Fargo, ND 58102-3641
(701) 234-2371
(701) 234-3813



Physician's Profile

Full NameWallace E Radtke
GenderMale
SpecialityInternal Medicine - Cardiovascular Disease
Location801 Broadway N, Fargo, North Dakota
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1134140353
  • Provider Enumeration Date: 07/22/2006
  • Last Update Date: 05/02/2012

Medical Identifiers

Medical identifiers for Wallace E Radtke such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134140353NPI-NPPES
258285600MedicaidMN
12479MedicaidND

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RC0000XInternal Medicine - Cardiovascular Disease 3798 (North Dakota)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Wallace E Radtke is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Wallace E Radtke, MD
801 Broadway N,
Fargo, ND 58102-3641

Ph: (701) 234-2371
Wallace E Radtke, MD
801 Broadway N,
Fargo, ND 58102-3641

Ph: (701) 234-2371

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› Verified 9 days ago


Internal Medicine Doctors in Fargo, ND

Dr. Keri Lynn Crewson, M.D.
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: Sanford Health, 801 Broadway North, Fargo, ND 58122
Phone: 701-234-5933    Fax: 701-234-7230
Abdallah M Mansour, MD
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Medicare: Medicare Enrolled
Practice Location: 3000 32nd Ave S, Fargo, ND 58103
Phone: 701-364-8900    
Derek Anderson, DO
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Medicare: Not Enrolled in Medicare
Practice Location: 5225 23rd Ave S, Fargo, ND 58104
Phone: 701-234-5933    
Gerald G Gross, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 820 4th St N, Fargo, ND 58102
Phone: 701-234-6161    
Paul James Carson, MD
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 801 Broadway N, Fargo, ND 58102
Phone: 701-234-4811    Fax: 701-234-6979
Howard L Russell, MD
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 820 N 4th St, Fargo, ND 58122
Phone: 701-234-6161    Fax: 701-234-3861
Dr. Emuejevoke Joseph Okoh, M.D.
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 801 Broadway N, Fargo, ND 58102
Phone: 701-234-2000    

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