| NPI | 1013046655 |
|---|---|
| Doing Business As | VERNOR PEDIATRIC PC |
| Entity Type | Organization |
| Authorized Contact | TERESA BALL Cpc 734-839-6610 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2021-06-10 |