| NPI | 1982051215 |
|---|---|
| Doing Business As | IHA CANTON PEDIATRICS - HERITAGE PARK |
| Entity Type | Organization |
| Authorized Contact | CYNTHIA ELLIOTT Chief Operating Officer / EVP 734-747-6766 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Enumeration Date | 2016-05-17 |
| Last Update Date | 2016-05-17 |