Mary E Braddock is a Pediatrics in Roseville, Minnesota. Mary E Braddock practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Mary E Braddock is 1730189226. The last update date is 2007-07-08.
Mary E Braddock's current location address is 2910 Centre Pointe Dr, Roseville, Minnesota. You can contact this provider via phone number 6518552327 and fax number 6518552310. The mailing address for Mary E Braddock is 2910 Centre Pointe Dr, Roseville, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary E Braddock |
|---|---|
| Address | 2910 Centre Pointe Dr, Roseville, Minnesota |
| Phone Number | 6518552327 |
| Fax Number | 6518552310 |
| Sole Proprietor | X |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1730189226 |
|---|---|
| Provider Enumeration Date | 2005-07-26 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2910 Centre Pointe Dr |
|---|---|
| City | Roseville |
| State | Minnesota (MN) |
| Post Code | 551131182 |
| Phone Number | 6518552327 |
| Fax Number | 6518552310 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | 35350 |
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Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and |
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Post Comment/ Review Below
What is the unique 10-digit identification code issued to Mary E Braddock by the Centers for Medicare & Medicaid Services?
The Mary E Braddock has been assigned the NPI (National Provider Identifier) 1730189226 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Mary E Braddock?
The Mary E Braddock is situated at 2910 Centre Pointe Dr, in the city of Roseville, state of MN, with the zip code 551131182.
What is Mary E Braddock's area of expertise and its corresponding taxonomy classification?
The Mary E Braddock's field of specialization is Pediatrics, and it falls under the taxonomy code 208000000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Mary E Braddock receive the assignment of its 1730189226 from the Centers for Medicare & Medicaid Services?
The Mary E Braddock was issued its 1730189226 by the Centers for Medicare & Medicaid Services on 2005-07-26.
As of what date were the details related to Mary E Braddock most recently updated or revised?
The information pertaining to Mary E Braddock, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.