Radford, Weston William

Radford, Weston William is an individual health care provider with primary practice located at 1855 S Koeller St , Oshkosh WI 54902-6186. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Radford, Weston William can be contacted via phone (920) 223-7100.

Contact Information

Primary practice address
1855 S Koeller St Oshkosh WI 54902-6186
Phone: (920) 223-7100
Fax: (920) 223-7462
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 65358-20 Wisconsin

Profile Details

NPI number 1700229416
LBN Legal business name Radford, Weston William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2013
Last updated Aug 3rd, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700229416 NPPES
Wisconsin MEDICAID 100058224

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