Organization · Type 2 NPI
Waterford Pediatrics
General Practice Physician · Waterford, MI
NPI number
1104082148
Active
Practice location
4185 Highland Rd
Waterford, MI 48328
Fax (248) 648-8931
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | MK057394 (MI) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Other general practice physician providers in Waterford
About NPI 1104082148
Waterford Pediatrics's National Provider Identifier is 1104082148, issued on Jul 30, 2008. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Waterford, MI. The record was last updated on Jul 30, 2008.