| NPI | 1326121179 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RELANDA PRICE Lead Enrollment Coordinator 517-884-2976 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: MI 5101019945) |
| 2080P0208X Pediatrics, Pediatric Infectious Diseases | |
| 208100000X Physical Medicine & Rehabilitation | |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine | |
| 208800000X Urology | |
| 2088P0231X | |
| 103T00000X Psychologist | |
| 204D00000X Neuromusculoskeletal Medicine & OMM | |
| 207Q00000X Family Medicine | |
| 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: MI 5101011076) | |
| 207SG0201X Medical Genetics, Clinical Genetics (M.D.) | |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2023-05-15 |