Pediatric Care Corner Pc
Pediatric Adolescent Medicine
Pediatric Care Corner Pc is a W Bloomfield, Michigan based Pediatric center with medical specialization in
Pediatric Adolescent Medicine.
It is located at
2300 Haggerty Rd, Suite 2110, W Bloomfield, Michigan - 48323-2184. They can be contacted on phone at
248-926-1411 and fax number 248-926-5338.
NPI number (Unique professional ID) for Pediatric Care Corner Pc is
1508864687 which was assigned by NPPES on 12 Jul, 2005 and it was last updated on 16 Oct, 2007.
Pediatric Care Corner Pc license number is
CR010295 for Pediatrics Adolescent Medicine (2080A0000X) in Michigan.
Pediatric Care Corner Pc specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Complete Profile:
Pediatric Care Corner Pc basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Adolescent Medicine |
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| Provider Name : | Pediatric Care Corner Pc |
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Business Address:
Pediatric Care Corner Pc address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 2300 Haggerty Rd, Suite 2110
W Bloomfield, MI, 48323-2184
United States |
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| Phone Number : | 248-926-1411 |
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| Fax Number : | 248-926-5338 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1508864687 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 12 Jul, 2005 |
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| Last Updated On : | 16 Oct, 2007 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Constance Rowley |
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| Authorized Official Credential : | DO |
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| Official Title or Position : | OWNER/PHYSICIAN |
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| Phone Number : | 248-926-1411 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Pediatric Care Corner Pc are as mentioned. Primary taxonomy code for Pediatric Care Corner Pc is
2080A0000X (Pediatrics Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080A0000X | Pediatrics Adolescent Medicine | Yes | CR010295 | MI |
Legacy Identifiers:
Other legacy medical identifiers of Pediatric Care Corner Pc such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 350F375630 | Other | MI | BCBC BCN |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 33321, Drawer 95
Detroit, MI, 48232-5321
United States |
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| Phone Number : | 248-926-1411 |
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| Fax Number : | 248-926-5338 |
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Business Location:
Patients can refer following map for directions to
Pediatric Care Corner Pc practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.