Organization
PEDICENTER ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATALIA M TANNER M.D (DOCTOR)
(248) 559-8336
Entity
Organization
Contact information
Practice address
20905 GREENFIELD RD, STE 207, SOUTHFIELD, MI 48075-5360
(248) 559-8336
(248) 559-8549
Mailing address
20905 GREENFIELD RD, STE 207, SOUTHFIELD, MI 48075-5360
(248) 559-8336
(248) 559-8549
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
430(NT)1019821
MI
Other
Enumeration date
05/09/2007
Last updated
08/22/2020
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