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Organization

NORTHSIDE PEDIATRICS PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. APRIL DIANE ANSELL (BILLING MANAGER)
(269) 962-6221
Entity
Organization

Contact information

Practice address
265 FREMONT ST, SUITE 1, BATTLE CREEK, MI 49017-3354
(269) 962-6223
(269) 962-9309
Mailing address
265 FREMONT ST, SUITE 1, BATTLE CREEK, MI 49017-3354
(269) 962-6223
(269) 962-9309

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MI

Other

Enumeration date
03/21/2006
Last updated
07/21/2022
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