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TWELVE OAKS PEDIATRICS PLLC NPI 1700123817


NPI Information

NPI: 1700123817
Provider Name: TWELVE OAKS PEDIATRICS, PLLC
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 23D1010243

Address:
41935 W 12 MILE RD
SUITE 102
NOVI, MI
ZIP 48377
Phone: (248) 347-8040
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TWELVE OAKS PEDIATRICS, PLLC is a pediatrics in Novi, 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. TWELVE OAKS PEDIATRICS, PLLC NPI is 1700123817. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

41935 W 12 MILE RD
SUITE 102
NOVI, MI
ZIP 48377-120
Phone: (248) 347-8040
Fax: (248) 305-6179

The provider's authorized official is Sheryl Hirsch .
The authorized official title is Partner and has the following contact phone number (248) 347-8040.

The CLIA number assigned to this NPI record is 23D1010243 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/9/2013 and was last updated on 11/6/2013.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatrics4301041755MICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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