Organization
PEDIATRIC HOLISTIC MEDICINE, PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN MCCREADIE MD (OWNER)
(734) 213-0255
Entity
Organization
Contact information
Practice address
2350 WASHTENAW AVE, STE 24, ANN ARBOR, MI 48104-4532
(734) 213-0255
(734) 213-0241
Mailing address
2350 WASHTENAW AVE, STE 24, ANN ARBOR, MI 48104-4532
(734) 213-0255
(734) 213-0241
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3506345401
BCBS
MI
Enumeration date
12/01/2006
Last updated
08/22/2020
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