Jenny Stillwaggo Radesky in Ann Arbor - Developmental - Behavioral Pediatrics
Jenny Stillwaggo Radesky - NPI 1588857999
Jenny Stillwaggo Radesky is a Developmental - Behavioral Pediatrics in Ann Arbor, Michigan. Jenny Stillwaggo Radesky practices all healthcare services and medical treatments related to Developmental - Behavioral Pediatrics. The NPI Number for Jenny Stillwaggo Radesky is 1588857999. The last update date is 2015-12-08.
Jenny Stillwaggo Radesky's current location address is 1500 East Medical Center Dr, Ann Arbor, Michigan. You can contact this provider via phone number 7349364185. The mailing address for Jenny Stillwaggo Radesky is 1500 East Medical Center Dr, Ann Arbor, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jenny Stillwaggo Radesky |
|---|---|
| Address | 1500 East Medical Center Dr, Ann Arbor, Michigan |
| Phone Number | 7349364185 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1588857999 |
|---|---|
| Provider Enumeration Date | 2007-08-20 |
| Last Updated Date | 2015-12-08 |
Provider Mailing Address Detail
| Address | 1500 East Medical Center Dr |
|---|---|
| City | Ann Arbor |
| State | Michigan (MI) |
| Post Code | 481094234 |
| Phone Number | 7349364185 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Developmental - Behavioral Pediatrics |
|---|---|
| Taxonomy | 2080P0006X |
| Licence No | 4301108770 |
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Definition: A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy effort |
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What is the unique 10-digit identification code issued to Jenny Stillwaggo Radesky by the Centers for Medicare & Medicaid Services?
The Jenny Stillwaggo Radesky has been assigned the NPI (National Provider Identifier) 1588857999 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 Jenny Stillwaggo Radesky?
The Jenny Stillwaggo Radesky is situated at 1500 East Medical Center Dr, in the city of Ann Arbor, state of MI, with the zip code 481094234.
What is the Jenny Stillwaggo Radesky's specialty and taxonomy code?
The Jenny Stillwaggo Radesky's specialty is Developmental - Behavioral Pediatrics, and the corresponding taxonomy code is 2080P0006X.
When was the Jenny Stillwaggo Radesky's 1588857999 issued?
The Jenny Stillwaggo Radesky's 1588857999 was issued on 2007-08-20.
As of what date were the details related to Jenny Stillwaggo Radesky most recently updated or revised?
The information pertaining to Jenny Stillwaggo Radesky, including its address, specialty, and other relevant details, was last updated or revised on 2015-12-08.
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