NPI | 1073010625 |
---|---|
Former Legal Business Name | KARMO PEDIATRIC CENTER |
Entity Type | Organization |
Authorized Contact | TERESA BALL Cpc 734-839-6610 |
Organization Subpart ? | Yes |
Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: MI NK069655) |
Enumeration Date | 2018-04-10 |
Last Update Date | 2021-06-10 |