COUNTRY CREEK PEDIATRICS PLLC NPI 1194792168

NPI Information

  • NPI: 1194792168
  • Provider Name: COUNTRY CREEK PEDIATRICS, PLLC
  • Classification: Pediatrics - 208000000X
  • Entity Type: Organization
  • Address: 4986 N ADAMS RD
    SUITE C
    ROCHESTER, MI
    ZIP 48306
  • Phone: (248) 475-5601

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NPI Details

COUNTRY CREEK PEDIATRICS, PLLC is a pediatrics in Rochester, MI. The provider is 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. COUNTRY CREEK PEDIATRICS, PLLC NPI is 1194792168. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4986 N ADAMS RD
SUITE C
ROCHESTER, MI
ZIP 48306-416
Phone: (248) 475-5601
Fax: (248) 475-5632

The provider's authorized official is Elzbieta Anna Rozmiej .
The authorized official title is Manager and has the following contact phone number (248) 475-5601.

The enumeration date for this NPI number is 3/8/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatricsYes

What is NPI?

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This page was last updated on: 11/21/2025

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