Organization
PEDIATRIC & ADOLESCENT CLINIC OF MICHIGAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORETTE HADDAD (MD)
(313) 859-9799
Entity
Organization
Contact information
Practice address
37375 CURTIS RD, LIVONIA, MI 48152-4090
(313) 859-9799
Mailing address
37375 CURTIS RD, LIVONIA, MI 48152-4090
(313) 859-9799
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
—
—
Other
Enumeration date
02/04/2015
Last updated
02/04/2015
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