Organization
MEDICAL ARTS PEDIATRICS, PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN G WALVISCH M.D. (PRESIDENT)
(989) 779-5270
Entity
Organization
Contact information
Practice address
1201 SOUTH DR, SUITE 341, MT PLEASANT, MI 48858-3256
(989) 779-5270
(989) 779-5279
Mailing address
1201 SOUTH DR, SUITE 341, MT PLEASANT, MI 48858-3256
(989) 779-5270
(989) 779-5279
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
SW053546
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0370053
BCBS
MI
01
—
0371044
BCBS
MI
05
—
4344387
—
MI
05
—
4875756
—
MI
Enumeration date
06/04/2008
Last updated
06/04/2008
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