Child And Adolescent Center P C

NPI 1952498875

Information of Child And Adolescent Center P C

The NPI 1952498875 is an Organization type. NPI No 1952498875 belongs to Child And Adolescent Center P C. Child And Adolescent Center P C specializes in Pediatrics. is practising at 15350 Trenton Rd, Southgate, Michigan 48195. You can also contact him via phone number (734) 283-4616.

Practice address located

  • 15350 Trenton Rd
  • Southgate, Michigan 48195
  • (734) 283-4616
  • (734) 283-4616

Mailling address located

  • 15350 Trenton Rd
  • Southgate, Michigan 48195
  • (734) 283-4616
  • (734) 283-5430
NPI No 1952498875
Primary Taxonomy
Authorized Official
Specialty of the provider
PrimaryTaxonomy CodeClassificationLicense NumberLicense State
Yes208000000XPediatricsn/an/a
Identifier for this provider
StateIdentifierTypeIssuer
MI350H27736OtherBCBSM PROVIDER ID NUMBER
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