Organization
SHELBY PEDIATRIC ASSOCIATES AND CHILD LUNG CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA PELLERITO (OFFICE MANAGER)
(586) 532-0599
Entity
Organization
Contact information
Practice address
15125 22 MILE RD, SHELBY TOWNSHIP, MI 48315-4406
(586) 532-0599
(586) 566-8967
Mailing address
15125 22 MILE RD, SHELBY TOWNSHIP, MI 48315-4406
(586) 532-0599
(586) 566-8967
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
AR2460549
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4432864
—
MI
05
—
4432882
—
MI
05
—
4669589
—
MI
Enumeration date
07/07/2006
Last updated
03/27/2024
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