| NPI | 1417004003 |
|---|---|
| Doing Business As | TRINITY HEALTH IHA MEDICAL GROUP PEDIATRICS |
| Entity Type | Organization |
| Authorized Contact | CYNTHIA ELLIOTT VP / Chief Operating Officer 734-747-6766 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2023-03-17 |