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My Kids Doc-southfield
Pediatric Adolescent Medicine Physician in Southfield, Michigan
NPI 1730187840

My Kids Doc-southfield is a Pediatric Adolescent Medicine Physician based in Detroit, MI and is specialized in Adolescent Medicine. My Kids Doc-southfield practices in Southfield, MI. The NPI Number for My Kids Doc-southfield is 1730187840 and holds a License No. PB047877 (Michigan).

The current practice location address for My Kids Doc-southfield is 29255 Northwestern Hwy, Southfield, MI and can be reached out via phone at 248-358-2410 and via fax at 248-358-2470.

Location: 29255 Northwestern Hwy, Southfield, MI, 48232-5321
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1730187840
Provider Name
My Kids Doc-southfield
Credential
Provider Entity Type
Organization
Address
29255 Northwestern Hwy, Southfield, MI, 48232-5321
Phone Number
248-358-2410
Fax Number
248-358-2470
Provider Enumeration Date
07/12/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
350F300680 01 MI BCN GROUP
1730187840 05 MI
350F300680 01 MI BCBS GROUP
institution
Provider Business Practice Location Address Details
Address
29255 Northwestern Hwy
City
Southfield
State
Michigan
Zip
48034-1018
Phone Number
248-358-2410
Fax Number
248-358-2470
person
Provider Business Mailing Address Details
Address
29255 Northwestern Hwy
City
Southfield
State
Michigan
Zip
48034-1018
Phone Number
248-358-2410
Fax Number
248-358-2470
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
Adolescent Medicine
Taxonomy
2080A0000X
License No.
PB047877 (Michigan)
Definition
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.
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