Pinetree Medical Center, Pc in Waterford - Pediatrics

Pinetree Medical Center, Pc - NPI 1699934158

Pinetree Medical Center, Pc is a Pediatrics in Waterford, Michigan. Pinetree Medical Center, Pc practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Pinetree Medical Center, Pc is 1699934158. The last update date is 2008-08-29.

Pinetree Medical Center, Pc's current location address is 4186 Pontiac Lake Rd, Waterford, Michigan. You can contact this provider via phone number 2489351931. The mailing address for Pinetree Medical Center, Pc is 4186 Pontiac Lake Rd, Waterford, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Organization Pinetree Medical Center, Pc
Address 4186 Pontiac Lake Rd, Waterford, Michigan
Phone Number 2489351931
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position CEO
Authorized Official Name Islam A Shamim
Credentials MD
Telephone Number 2489351931

NPI Number Detail

NPI Number 1699934158
Provider Enumeration Date 2008-06-09
Last Updated Date 2008-08-29

Provider Mailing Address Detail

Address 4186 Pontiac Lake Rd
City Waterford
State Michigan (MI)
Post Code 483281258
Phone Number 2489351931
Fax Number

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 208000000X
Definition:
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
0F32626 MI BCBSM

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FAQs about Pinetree Medical Center, Pc

What is the Pinetree Medical Center, Pc's 1699934158?

The Pinetree Medical Center, Pc's NPI (National Provider Identifier) Number is 1699934158. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Pinetree Medical Center, Pc is geographically located?

The Pinetree Medical Center, Pc is physically situated at the following location: 4186 Pontiac Lake Rd, Waterford, MI, 483281258.

What is the Pinetree Medical Center, Pc's specialty and taxonomy code?

The Pinetree Medical Center, Pc's specialty is Pediatrics, and the corresponding taxonomy code is 208000000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1699934158 to Pinetree Medical Center, Pc?

The Centers for Medicare & Medicaid Services originally issued the 1699934158 to Pinetree Medical Center, Pc on 2008-06-09.

As of what date was the information pertaining to Pinetree Medical Center, Pc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Pinetree Medical Center, Pc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-08-29.

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