| Pediatrics Primary Care Pllc | |
|
4433 Byron Center Ave Sw Pediatrics Primary Care Wyoming MI 49519 | |
| (616) 530-2846 | |
| (616) 530-2854 |
| Full Name | Pediatrics Primary Care Pllc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 4433 Byron Center Ave Sw, Wyoming, Michigan |
| Authorized Official Name and Position | Buenaventura Carmen Pereyra (PEDIATRICIAN) |
| Authorized Official Contact | 6165302846 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatrics Primary Care Pllc 4433 Byron Center Ave Sw Pediatrics Primary Care Wyoming MI 49519 Ph: () - | Pediatrics Primary Care Pllc 4433 Byron Center Ave Sw Pediatrics Primary Care Wyoming MI 49519 Ph: (616) 530-2846 |
| NPI Number | 1194997825 |
|---|---|
| Provider Enumeration Date | 04/02/2008 |
| Last Update Date | 04/02/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194997825 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 4301066298 (Michigan) | Primary |
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