| NPI | 1346417615 |
|---|---|
| Doing Business As | BIRMINGHAM PEDIATRICS WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | MARY DOHERTY O'SHEA Owner 248-770-7245 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: MI MO 056871) |
| Enumeration Date | 2008-05-14 |
| Last Update Date | 2012-05-30 |