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Organization
PEDIATRIC NEPHROLOGY ASSOCIATES OF MICHIGAN PLC
Active
Organization
PEDIATRIC NEPHROLOGY ASSOCIATES OF MICHIGAN PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLGA BLANEY (PRATICE MANAGER)
(734) 712-3471
Entity
Organization
Contact information
Practice address
5333 MCAULEY DRIVE, SUITE 4003, YPSILANTI, MI 48197-1099
(734) 712-3888
Mailing address
5333 MCAULEY DRIVE, SUITE 4003, YPSILANTI, MI 48197-1099
(734) 712-3888
Taxonomy
Speciality
Code
Description
License number
State
2080P0210X
Pediatric Nephrology Physician
Primary
—
NULL
2080P0210X
Pediatric Nephrology Physician
Primary
—
—
Other
Enumeration date
03/16/2009
Last updated
03/31/2009
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