Individual
ORA HIRSCH PESCOVITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1500 EAST MEDICAL CENTER DR, 8TH FLOOR C. S. MOTT CHILDRENS HOSPITAL, ANN ARBOR, MI 48109-4259
(734) 936-4185
Mailing address
3621 S STATE ST, 700 KMS PLACE, ANN ARBOR, MI 48108
(734) 936-2047
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
4301095358
MI
2080P0205X
Pediatric Endocrinology Physician
01036925
IN
2080P0205X
Pediatric Endocrinology Physician
Primary
4301095358
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100068690
—
IN
Enumeration date
08/21/2006
Last updated
09/26/2012
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