# TOLIA PEDIATRIC GI CENTER PC

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

## Provider details

- **NPI number:** 1689686446
- **Authorized official:** VASU TOLIA MD (OWNER)
- **Authorized official phone:** (248) 865-0030

## Contact information

- **Practice address:** 30055 NORTHWESTERN HWY, SUITE 240, FARMINGTON HILLS, MI 48334-3230
- **Practice address phone:** (248) 865-0030
- **Practice address fax:** (248) 865-0034
- **Mailing address:** 30055 NORTHWESTERN HWY, SUITE 240, FARMINGTON HILLS, MI 48334-3230
- **Mailing address phone:** (248) 865-0030
- **Mailing address fax:** (248) 865-0034

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | — | Yes |

## Other

- **Enumeration date:** 08/12/2006
- **Last updated:** 08/22/2020
