| NPI | 1245444959 |
|---|---|
| Doing Business As | PROMEDICA CHILDREN'S SPECIALISTS |
| Entity Type | Organization |
| Authorized Contact | TANYA WINES Director 567-585-0422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 2086S0120X Surgery, Pediatric Surgery |
| 2080P0207X Pediatrics, Pediatric Hematology-Oncology | |
| 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics | |
| 2080P0205X Pediatrics, Pediatric Endocrinology | |
| 2080P0202X Pediatrics, Pediatric Cardiology | |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine | |
| 207X00000X Orthopaedic Surgery | |
| 2080P0206X Pediatrics, Pediatric Gastroenterology | |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2025-09-05 |