Radetsky, Michael S
Radetsky, Michael S is an sole proprietor health care provider with primary practice located at 11433 Pine Top Ln Ne , Albuquerque NM 87111-6584. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Radetsky, Michael S can be contacted via phone (505) 292-3035.Contact Information
Primary practice address
11433 Pine Top Ln Ne
Albuquerque NM 87111-6584
Phone: (505) 292-3035
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 93-361 | New Mexico |
Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases | 2080P0208X | 93-361 | New Mexico |
Profile Details
NPI number | 1306904545 |
---|---|
LBN Legal business name | Radetsky, Michael S |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Dec 4th, 2006 |
Last updated | Jul 8th, 2007 - about 17 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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