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Organization

PEDIATRICS PRIMARY CARE PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BUENAVENTURA CARMEN PEREYRA MD (PEDIATRICIAN)
(616) 530-2846
Entity
Organization

Contact information

Practice address
4433 BYRON CENTER AVE SW, PEDIATRICS PRIMARY CARE, WYOMING, MI 49519
(616) 530-2846
(616) 530-2854
Mailing address
4433 BYRON CENTER AVE SW, PEDIATRICS PRIMARY CARE, WYOMING, MI 49519
(616) 530-2854

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
4301066298
MI

Other

Enumeration date
04/02/2008
Last updated
04/02/2008
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