Organization
KARMO PEDIATRIC CENTER
Active
Parent organization
VERNOR PEDIATRIC PC
Other names
Vernor Pediatric PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
VERNOR PEDIATRIC PC
Authorized official
TERESA BALL (CPC)
(734) 839-6610
Entity
Organization
Contact information
Practice address
26206 W 12 MILE RD, SUITE 106, SOUTHFIELD, MI 48034-1754
(248) 354-1600
(248) 354-1604
Mailing address
26206 W 12 MILE RD, SUITE 106, SOUTHFIELD, MI 48034-1754
(248) 354-1600
(248) 354-1604
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
—
—
Other
Enumeration date
03/02/2007
Last updated
06/10/2021
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