Organization
MAIN STREET PEDIATRICS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RHONDA YONO-ATISHA MD (MANAGING MEMBER)
(248) 819-2664
Entity
Organization
Contact information
Practice address
7362 RAFFORD LN, WEST BLOOMFIELD, MI 48322-3190
(248) 819-2664
Mailing address
7362 RAFFORD LN, WEST BLOOMFIELD, MI 48322-3190
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301088451
MI
Other
Enumeration date
02/28/2013
Last updated
02/28/2013
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