Dr. Michael S Radetsky
Pediatrician Pediatric Infectious Diseases
11433 Pine Top Ln Ne
Albuquerque
, New Mexico 87111-6584
Dr. Michael S Radetsky
Pediatrician Pediatric Infectious Diseases
11433 Pine Top Ln Ne
Albuquerque
, New Mexico 87111-6584
(505) 292-3035
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About
Features
Specialties
- Pediatrician
- Pediatric Infectious Diseases
Languages spoken
- English
Location
First Address
- Dr. Michael S Radetsky
- Po Box 22040
- Albuquerque, NM
- Zip : 87154-2040
- Phone : (505) 292-3035
Second Address
- Dr. Michael S Radetsky
- 11433 Pine Top Ln Ne
- Albuquerque, NM
- Zip : 87111-6584
- Phone : (505) 292-3035
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208000000X | Pediatrician | 93-361 | NM |
| N | 2080P0208X | Pediatric Infectious Diseases | 93-361 | NM |
National Provider Identifier
| NPI | 1306904545 |
|---|---|
| Provider Name | Dr. Michael S Radetsky |
| First Address | Albuquerque, NM 87154-2040 |
| Second Address | Albuquerque, NM 87111-6584 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/12/2006 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.