Organization
PEDIATRIC CARE CORNER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CONSTANCE ROWLEY DO (OWNER/PHYSICIAN)
(248) 926-1411
Entity
Organization
Contact information
Practice address
2300 HAGGERTY RD, SUITE 2110, W BLOOMFIELD, MI 48323-2184
(248) 926-1411
(248) 926-5338
Mailing address
PO BOX 33321, DRAWER 95, DETROIT, MI 48232-5321
(248) 926-1411
(248) 926-5338
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
CR010295
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
350F375630
BCBC BCN
MI
Enumeration date
07/12/2005
Last updated
10/16/2007
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