| NPI | 1821049990 |
|---|---|
| Doing Business As | PEDIATRIC SPECIALTY GROUP |
| Entity Type | Organization |
| Authorized Contact | THOMAS M BRISSE CEO 586-493-8083 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0008X Pediatrics, Neurodevelopmental Disabilities |
| Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology |
| Enumeration Date | 2006-05-13 |
| Last Update Date | 2018-05-23 |