Waterford Pediatrics in Waterford - General Practice
Waterford Pediatrics - NPI 1104082148
Waterford Pediatrics is a General Practice in Waterford, Michigan. Waterford Pediatrics practices all healthcare services and medical treatments related to General Practice. The NPI Number for Waterford Pediatrics is 1104082148. The last update date is 2008-07-30.
Waterford Pediatrics's current location address is 4185 Highland Rd, Waterford, Michigan. You can contact this provider via phone number 2486488930 and fax number 2486488931. The mailing address for Waterford Pediatrics is 4185 Highland Rd, Waterford, Michigan. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Waterford Pediatrics |
---|---|
Address | 4185 Highland Rd, Waterford, Michigan |
Phone Number | 2486488930 |
Fax Number | 2486488931 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | BILLING MG |
---|---|
Authorized Official Name | Inman L Vicki |
Telephone Number | 2486664266 |
NPI Number Detail
NPI Number | 1104082148 |
---|---|
Provider Enumeration Date | 2008-07-30 |
Last Updated Date | 2008-07-30 |
Provider Mailing Address Detail
Address | 4185 Highland Rd |
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City | Waterford |
State | Michigan (MI) |
Post Code | 48328 |
Phone Number | 2486488930 |
Fax Number | 2486488931 |
Provider's Primary Taxonomy Detail
Speciality | General Practice |
---|---|
Taxonomy | 208D00000X |
Licence No | MK057394 |
Definition: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
4149524 | MI | -- | |
21121 | MIDWEST | ||
C7543 | MCARE | ||
634011 | BCBS | ||
120911 | CARECHOICES | ||
15486 | HEALTH PLAN |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Waterford Pediatrics by the Centers for Medicare & Medicaid Services?
The Waterford Pediatrics has been assigned the NPI (National Provider Identifier) 1104082148 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Waterford Pediatrics?
The Waterford Pediatrics is physically situated at 4185 Highland Rd, in the city of Waterford, state of MI, with the postal code 48328.
What is Waterford Pediatrics's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Waterford Pediatrics is General Practice, and the taxonomy code that categorizes this field of expertise is 208D00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1104082148 to Waterford Pediatrics?
The Waterford Pediatrics received its 1104082148 assignment from the Centers for Medicare & Medicaid Services on 2008-07-30.
When was the information related to Waterford Pediatrics most recently updated or refreshed?
The details pertaining to the Waterford Pediatrics, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-07-30.
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