National Provider Identifier Database

MARY E BRADDOCK, MD – NPI #1730189226
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.


Contact Information

MARY E BRADDOCK, MD
347 SMITH AVE N
SAINT PAUL, MN55102-2387
Phone: 651-220-6789
Fax: 651-220-6807
Website:
Specialty Taxonomy Code
* Pediatrics 208000000X

* Indicates primary specialty

NPI Profile & details for MARY E BRADDOCK

NPI Number 1730189226
Credentials MD
Entity Individual
Enumeration date 07/26/2005
Last updated 07/08/2007 - About 19 years ago
Sole proprietor1 Not specified
Identifiers
  • MN License #: 35350
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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