# CHILDREN'S HOSPITAL OF MICHIGAN

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063767713
- **Authorized official:** DR. KEISUKE UEDA M.D. (PEDIATRIC RESIDENT)
- **Authorized official phone:** (586) 532-3410

## Contact information

- **Practice address:** 3901 BEAUBIEN ST, DETROIT, MI 48201-2119
- **Practice address phone:** (313) 745-5437
- **Mailing address:** 3901 BEAUBIEN ST, DETROIT, MI 48201-2119
- **Mailing address phone:** (313) 745-5437

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QU0200X | Urgent Care Clinic/Center | 5301007841 | MI | Yes |

## Other

- **Enumeration date:** 07/18/2012
- **Last updated:** 03/07/2013