PEDIATRIC STAFF PLLC NPI 1922140912

NPI Information

PEDIATRIC STAFF PLLC is a specialist in Detroit, 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. PEDIATRIC STAFF PLLC NPI is 1922140912. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

22341 W 8 MILE RD
DETROIT, MI
ZIP 48219-217
Phone: (313) 255-2209
Fax: (313) 255-0773

The provider's authorized official is Anne-mare Ice .
The authorized official title is President and has the following contact phone number (313) 255-2209.

The enumeration date for this NPI number is 2/13/2007 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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