Radesky, Jenny Stillwaggon
Radesky, Jenny Stillwaggon is an individual health care provider with primary practice located at 1500 East Medical Center Dr 6Th Floor C.S. Mott Children'S Hospital, Ann Arbor MI 48109-4234. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics. Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics is her primary health care specialty. Radesky, Jenny Stillwaggon can be contacted via phone (734) 936-4185.Contact Information
Primary practice address
1500 East Medical Center Dr 6Th Floor C.S. Mott Children'S Hospital
Ann Arbor MI 48109-4234
Phone: (734) 936-4185
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 246596 | Massachusetts |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 4301108770 | Michigan |
| Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics | 2080P0006X | 4301108770 | Michigan |
Profile Details
| NPI number | 1588857999 |
|---|---|
| LBN Legal business name | Radesky, Jenny Stillwaggon |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 20th, 2007 |
| Last updated | Dec 8th, 2015 - about 9 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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