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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