NPI | 1538050588 |
---|---|
Doing Business As | PEDS WELLCARE |
Entity Type | Organization |
Authorized Contact | TAKINA CHEATHAM Office Manager 313-301-2936 |
Organization Subpart ? | No |
Primary Taxonomy | 208000000X Pediatrics |
Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
Enumeration Date | 2025-07-09 |
Last Update Date | 2025-08-06 |