Organization
TAYLOR PEDIATRICS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MHD- HUSSAM DIARBAKRLI MD (OWNER)
(606) 791-1291
Entity
Organization
Contact information
Practice address
23611 GODDARD RD STE A, TAYLOR, MI 48180-4046
(606) 791-1291
Mailing address
23611 GODDARD RD STE A, TAYLOR, MI 48180-4046
(606) 791-1291
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
4301056799
MI
Other
Enumeration date
05/17/2016
Last updated
06/10/2016
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