| NPI | 1992937148 |
|---|---|
| Former Legal Business Name | HILLSDALE PEDIATRICS |
| Entity Type | Organization |
| Authorized Contact | MICHAEL SACKMAN Owner 517-437-8325 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics Adolescent Medicine (Licence: MI MS086960) |
| Enumeration Date | 2009-08-20 |
| Last Update Date | 2013-08-06 |