Organization
DETROIT RIVERVIEW PEDIATRICS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GERARD MOSBY (OWNER)
(313) 821-3777
Entity
Organization
Contact information
Practice address
10201 E JEFFERSON AVE, DETROIT, MI 48214-3149
(313) 821-3777
(313) 824-3777
Mailing address
DEPT 999360 PO BOX 33738, DETROIT, MI 48232-3738
(810) 720-5715
(810) 732-0891
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
04/14/2008
Last updated
11/12/2015
Update your record
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