Individual
MARY PATRICIA BEDARD-LUSIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
CHILDRENS HOSPITAL MI NEONATOLOGY, 3901 BEAUBIEN 2ND FLOOR - MAIN BUILDING, DETROIT, MI 48201
(313) 745-1436
Mailing address
4201 ST. ANTOINE UHC 6F MAILBOX# 226, UNIVERSITY PEDIATRICIANS, DETROIT, MI 48201-2061
(313) 966-5051
(313) 966-6618
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
4301039853
MI
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
4301039853
MI
Other
Enumeration date
06/01/2006
Last updated
07/08/2010
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