institution
Pedicare Pediatric Clinic Pc
Primary Care Clinic/Center in Westland, Michigan
NPI 1881700128

Pedicare Pediatric Clinic Pc is a Primary Care Clinic/Center based in Westland, MI and is specialized in Primary Care. Pedicare Pediatric Clinic Pc practices in Westland, MI. The NPI Number for Pedicare Pediatric Clinic Pc is 1881700128 and holds a License No. VT 006757 (Michigan).

The current practice location address for Pedicare Pediatric Clinic Pc is 35240 Nankin Blvd, Westland, MI and can be reached out via phone at 734-427-3636 and via fax at 734-427-1483.

Location: 35240 Nankin Blvd, Westland, MI, 48185-7218
institution
Provider Profile Details
NPI Number
1881700128
Provider Name
Pedicare Pediatric Clinic Pc
Credential
Provider Entity Type
Organization
Address
35240 Nankin Blvd, Westland, MI, 48185-7218
Phone Number
734-427-3636
Fax Number
734-427-1483
Provider Enumeration Date
08/21/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
383159597 01 MI FEDERAL TAX ID
3025602-11 05 MI
VT 006757 01 MI LICENSE NO.
institution
Provider Business Practice Location Address Details
Address
35240 Nankin Blvd
City
State
Zip
48185-7218
Phone Number
734-427-3636
Fax Number
734-427-1483
person
Provider Business Mailing Address Details
Address
35240 Nankin Blvd
City
State
Zip
48185-7218
Phone Number
734-427-3636
Fax Number
734-427-1483
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
License No.
VT 006757 (Michigan)
Definition
Definition to come...
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