Organization · Type 2 NPI

Grace Neonatologists PC

Pediatric Critical Care Medicine Physician · Detroit, MI

NPI number 1083647077 Active

Practice location

6071 W Outer Dr
Detroit, MI 48235-2624

Mailing address

PO Box 321061
Detroit, MI 48232-1061

Specialties and licenses

TaxonomyCodeLicense
Pediatric Critical Care Medicine Physician Primary 2080P0203XNone listed

Pediatric Critical Care Medicine Physician: A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates…

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About NPI 1083647077

Grace Neonatologists PC's National Provider Identifier is 1083647077, issued on Jul 10, 2006. The primary taxonomy on file is Pediatric Critical Care Medicine Physician (2080P0203X), and the practice location is in Detroit, MI. The record was last updated on Dec 15, 2011.