Organization
PAINT CREEK PEDIATRICS AND ADOLESCENT CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HERMINIA P BIEREMA MD (OWNER PROVIDER)
(248) 656-3440
Entity
Organization
Contact information
Practice address
1000 W UNIVERSITY DR STE 207, ROCHESTER HILLS, MI 48307-1875
(248) 656-3440
(248) 656-8504
Mailing address
1000 W UNIVERSITY DR STE 207, ROCHESTER, MI 48307-1875
(248) 656-3440
(248) 656-8504
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301048948
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0F31453
BCBS
MI
Enumeration date
07/15/2006
Last updated
07/21/2022
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