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Pediatric Staff Pllc
Specialist in Detroit, Michigan
NPI 1922140912

Pediatric Staff Pllc is a Specialist based in Detroit, MI. Pediatric Staff Pllc practices in Detroit, MI. The NPI Number for Pediatric Staff Pllc is 1922140912 and holds a License No. 031683 (Michigan).

The current practice location address for Pediatric Staff Pllc is 22341 W 8 Mile Rd, Detroit, MI and can be reached out via phone at 313-255-2209 and via fax at 313-255-0773.

Location: 22341 W 8 Mile Rd, Detroit, MI, 48219-1217
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1922140912
Provider Name
Pediatric Staff Pllc
Credential
Provider Entity Type
Organization
Address
22341 W 8 Mile Rd, Detroit, MI, 48219-1217
Phone Number
313-255-2209
Fax Number
313-255-0773
Provider Enumeration Date
02/13/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1066910 05 MI
institution
Provider Business Practice Location Address Details
Address
22341 W 8 Mile Rd
City
Detroit
State
Michigan
Zip
48219-1217
Phone Number
313-255-2209
Fax Number
313-255-0773
person
Provider Business Mailing Address Details
Address
22341 W 8 Mile Rd
City
Detroit
State
Michigan
Zip
48219-1217
Phone Number
313-255-2209
Fax Number
313-255-0773
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
031683 (Michigan)
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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