| NPI | 1003871062 |
|---|---|
| Other Name | PH NEONATOLOGY/PROVIDENCE HOSPTIAL AND MEDICAL CENTERS INC |
| Entity Type | Organization |
| Authorized Contact | SARAH STARKEL Credentialing Coordinator 248-680-8121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2023-11-15 |