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Michigan Pediatric Surgery Associates P.c.
Specialist in Detroit, Michigan
NPI 1396817714

Michigan Pediatric Surgery Associates P.c. is a Specialist based in Detroit, MI. Michigan Pediatric Surgery Associates P.c. practices in Detroit, MI. The NPI Number for Michigan Pediatric Surgery Associates P.c. is 1396817714 and holds a License No. (Michigan).

The current practice location address for Michigan Pediatric Surgery Associates P.c. is 3901 Beaubien St, Detroit, MI and can be reached out via phone at 313-831-3220 and via fax at 313-831-3908.

Location: 3901 Beaubien St, Detroit, MI, 48201-2119
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1396817714
Provider Name
Michigan Pediatric Surgery Associates P.c.
Credential
Provider Entity Type
Organization
Address
3901 Beaubien St, Detroit, MI, 48201-2119
Phone Number
313-831-3220
Fax Number
313-831-3908
Provider Enumeration Date
11/14/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
020H277290 01 MI BCBS OF MI GROUP ID
institution
Provider Business Practice Location Address Details
Address
3901 Beaubien St
City
Detroit
State
Michigan
Zip
48201-2119
Phone Number
313-831-3220
Fax Number
313-831-3908
person
Provider Business Mailing Address Details
Address
3901 Beaubien St
City
Detroit
State
Michigan
Zip
48201-2119
Phone Number
313-831-3220
Fax Number
313-831-3908
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
()
Definition
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.
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