| NPI | 1427430677 |
|---|---|
| Doing Business As | MACOMB MEDICAL PEDIATRICS |
| Entity Type | Organization |
| Authorized Contact | BHAVANA VYAS President 586-263-1818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2015-06-24 |
| Last Update Date | 2019-11-12 |