CHILDREN'S HEART CENTER PC NPI 1417054594

NPI Information

CHILDREN'S HEART CENTER, PC is a specialist in Lansing, MI. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. CHILDREN'S HEART CENTER, PC NPI is 1417054594. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1514 E MICHIGAN AVE
LANSING, MI
ZIP 48912-221
Phone: (517) 484-0004
Fax: (517) 484-7241

The provider's authorized official is David N Matisoff .
The authorized official title is President/pediatric Cardiologist and has the following contact phone number (517) 484-0004.

The enumeration date for this NPI number is 9/20/2006 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:

Other Identifiers

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