| NPI | 1003441171 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RELANDA PRICE Lead Enrollment Coordinator 517-884-2976 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 2080P0208X Pediatrics, Pediatric Infectious Diseases |
| 204D00000X Neuromusculoskeletal Medicine & OMM | |
| 207Q00000X Family Medicine | |
| 207SG0201X Medical Genetics, Clinical Genetics (M.D.) | |
| 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery | |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine | |
| 208800000X Urology | |
| 2088P0231X | |
| 103T00000X Psychologist | |
| Enumeration Date | 2020-03-09 |
| Last Update Date | 2023-01-23 |