Jenny Stillwaggon Radesky
MD | Developmental - Behavioral Pediatrics | Female
Jenny Stillwaggon Radesky, MD is a Ann Arbor, Michigan based Pediatric doctor with medical specialization in
Developmental - Behavioral Pediatrics.
Current practice location of Jenny Stillwaggon Radesky is
1500 East Medical Center Dr, 6th Floor C.s. Mott Children's Hospital, Ann Arbor, Michigan - 48109-4234. She can be contacted on phone at
734-936-4185.
Jenny Stillwaggon Radesky is a sole proprietor of her business.
NPI number (Unique professional ID) for Jenny Stillwaggon Radesky is
1588857999 which was assigned by NPPES on 20 Aug, 2007 and it was last updated on 08 Dec, 2015.
Jenny Stillwaggon Radesky license number is
4301108770 for Pediatrics Developmental - Behavioral Pediatrics (2080P0006X) in Michigan.
Jenny Stillwaggon Radesky 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 efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development.
Complete Profile:
Jenny Stillwaggon Radesky basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Developmental - Behavioral Pediatrics |
|---|
| Provider Name : | Jenny Stillwaggon Radesky |
|---|
| Credential : | MD |
|---|
| Gender : | Female |
|---|
Business Address:
Jenny Stillwaggon Radesky address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1500 East Medical Center Dr, 6th Floor C.s. Mott Children's Hospital
Ann Arbor, MI, 48109-4234
United States |
|---|
| Phone Number : | 734-936-4185 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1588857999 |
|---|
| NPI Entity Type : | Individual |
|---|
| First Enrolment Date : | 20 Aug, 2007 |
|---|
| Last Updated On : | 08 Dec, 2015 |
|---|
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jenny Stillwaggon Radesky are as mentioned. Primary taxonomy code for Jenny Stillwaggon Radesky, MD is
2080P0006X (Pediatrics Developmental - Behavioral Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | 246596 | MA |
| 208000000X | Pediatrics | No | 4301108770 | MI |
| 2080P0006X | Pediatrics Developmental - Behavioral Pediatrics | Yes | 4301108770 | MI |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 3621 South State Street, 700 Kms Place
Ann Arbor, MI, 48108
United States |
|---|
| Phone Number : | 734-936-2047 |
|---|
Business Location:
Patients can refer following map for directions to
Jenny Stillwaggon Radesky practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.