Organization
UNIVERSITY PEDIATRICIANS
Active
Parent organization
UNIVERSITY PEDIATRICIANS
Organization subpart
Yes
Provider details
NPI number
Legal business name
UNIVERSITY PEDIATRICIANS
Authorized official
MARK HARRISON (COO)
(313) 745-5870
Entity
Organization
Contact information
Practice address
3901 BEAUBIEN ST, DETROIT, MI 48201-2119
(313) 745-5437
Mailing address
3901 BEAUBIEN ST STE H, DETROIT, MI 48201-2119
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
2080P0207X
Pediatric Hematology & Oncology Physician
—
—
Other
Enumeration date
05/02/2024
Last updated
10/28/2024
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