| 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 |