| Pedicare Pediatric Clinic Pc | |
|
35240 Nankin Blvd Ste # 401 Westland MI 48185-7218 | |
| (734) 427-3636 | |
| (734) 427-1483 |
| Full Name | Pedicare Pediatric Clinic Pc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 35240 Nankin Blvd, Westland, Michigan |
| Authorized Official Name and Position | Verna Jean Turkish (OWNER) |
| Authorized Official Contact | 7344274067 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pedicare Pediatric Clinic Pc 35240 Nankin Blvd Ste # 401 Westland MI 48185-7218 Ph: (734) 427-3636 | Pedicare Pediatric Clinic Pc 35240 Nankin Blvd Ste # 401 Westland MI 48185-7218 Ph: (734) 427-3636 |
| NPI Number | 1881700128 |
|---|---|
| Provider Enumeration Date | 08/21/2006 |
| Last Update Date | 07/14/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881700128 | NPI | - | NPPES |
| 383159597 | Other | MI | FEDERAL TAX ID |
| 3025602-11 | Medicaid | MI | |
| VT 006757 | Other | MI | LICENSE NO. |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | VT 006757 (Michigan) | Primary |
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