| NPI | 1831771401 |
|---|---|
| Doing Business As | IHA UNION LAKE PEDIATRICS |
| Entity Type | Organization |
| Authorized Contact | CYNTHIA A ELLIOTT Presdient / Chief Operating Officer 734-327-0341 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Enumeration Date | 2021-04-23 |
| Last Update Date | 2021-04-23 |