| NPI | 1033143623 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID CHRISTOPHER MILLER President 734-936-3568 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine |
| 2080I0007X Pediatrics, Clinical & Laboratory Immunology | |
| 2080P0008X Pediatrics, Neurodevelopmental Disabilities | |
| 2080S0010X Pediatrics, Sports Medicine | |
| 2080T0002X Pediatrics, Medical Toxicology | |
| 208M00000X Hospitalist | |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2021-05-03 |