Organization
OAKLAND PEDIATRICS, PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REGINA E RIZK MD (PRESIDENT)
(248) 699-2273
Entity
Organization
Contact information
Practice address
100 N POND DR, SUITE E, WALLED LAKE, MI 48390-3079
(248) 669-2273
Mailing address
100 N POND DR, SUITE E, WALLED LAKE, MI 48390-3079
(248) 669-2273
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
RR052769
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
350F339890
BCBS OF MICHIGAN
MI
Enumeration date
10/06/2006
Last updated
04/25/2014
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