Organization
PURE JOY PEDIATRICS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LA DONNA J. HENDRICKS M.D. (PRESIDENT)
(248) 421-9706
Entity
Organization
Contact information
Practice address
36880 WOODWARD AVE, SUITE 101, BLOOMFIELD HILLS, MI 48304-0919
(248) 220-2384
(248) 630-2627
Mailing address
36880 WOODWARD AVE, SUITE 101, BLOOMFIELD HILLS, MI 48304-0919
(248) 220-2384
(248) 630-2627
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301088258
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1952509838
—
MI
Enumeration date
12/14/2009
Last updated
12/14/2009
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