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Organization

VERNOR PEDIATRIC PC

Active
Find providers by NPI
Organization

VERNOR PEDIATRIC PC

Active
Parent organization
KARMO PEDIATRIC CENTER
Other names
Karmo Pediatric Center
Organization subpart
Yes

Provider details

NPI number
Legal business name
KARMO PEDIATRIC CENTER
Authorized official
TERESA BALL (CPC)
(734) 839-6610
Entity
Organization

Contact information

Practice address
4607 W VERNOR HWY, DETROIT, MI 48209-2117
(313) 554-3300
(313) 554-3303
Mailing address
26206 W 12 MILE RD STE 106, SOUTHFIELD, MI 48034-1799
(248) 354-1600
(248) 354-1604

Taxonomy

Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
NK069655
MI

Other

Enumeration date
04/10/2018
Last updated
06/10/2021
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