Organization
CHILDREN'S MEDICINE P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT CARL ENSFIELD M.D. (PRESIDENT)
(269) 345-9030
Entity
Organization
Contact information
Practice address
1428 W MILHAM AVE, PORTAGE, MI 49024-1209
(269) 345-9030
Mailing address
1818 FOREST DR, PORTAGE, MI 49002-6433
(269) 323-0975
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
09/29/2006
Last updated
08/22/2020
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