MY KIDS DOC-SOUTHFIELD is an adolescent medicine pediatrics in Southfield, MI. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. MY KIDS DOC-SOUTHFIELD NPI is 1730187840. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
29255 NORTHWESTERN HWY
SUITE 100
SOUTHFIELD, MI
ZIP 48034-018
Phone: (248) 358-2410
Fax: (248) 358-2470
The provider's authorized official is Pamela Berry .
The authorized official title is Owner/physician and has the following contact phone number (248) 358-2410.
The CLIA number assigned to this NPI record is 23D1010247 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).
The enumeration date for this NPI number is 7/12/2005 and was last updated on 4/29/2009.