institution
Waterford Pediatrics
General Practice Physician in Waterford, Michigan
NPI 1104082148

Waterford Pediatrics is a General Practice Physician based in Waterford, MI. Waterford Pediatrics practices in Waterford, MI. The NPI Number for Waterford Pediatrics is 1104082148 and holds a License No. MK057394 (Michigan).

The current practice location address for Waterford Pediatrics is 4185 Highland Rd, Waterford, MI and can be reached out via phone at 248-648-8930 and via fax at 248-648-8931.

Location: 4185 Highland Rd, Waterford, MI, 48328
institution
Provider Profile Details
NPI Number
1104082148
Provider Name
Waterford Pediatrics
Credential
Provider Entity Type
Organization
Address
4185 Highland Rd, Waterford, MI, 48328
Phone Number
248-648-8930
Fax Number
248-648-8931
Provider Enumeration Date
07/30/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4149524 05 MI
021121 01 MIDWEST
C7543 01 MCARE
0634011 01 BCBS
120911 01 CARECHOICES
15486 01 HEALTH PLAN
institution
Provider Business Practice Location Address Details
Address
4185 Highland Rd
City
State
Zip
48328
Phone Number
248-648-8930
Fax Number
248-648-8931
person
Provider Business Mailing Address Details
Address
4185 Highland Rd
City
State
Zip
48328
Phone Number
248-648-8930
Fax Number
248-648-8931
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
MK057394 (Michigan)
Definition
Definition to come...
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