Organization
DAVISON PEDIATRICS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAMAL HASAN MD (OWNER)
(810) 658-9550
Entity
Organization
Contact information
Practice address
1260 N IRISH RD, STE A, DAVISON, MI 48423-2276
(810) 658-9550
(810) 658-2202
Mailing address
1260 N IRISH RD, STE A, DAVISON, MI 48423-2276
(810) 658-9550
(810) 658-2202
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301063221
MI
Other
Enumeration date
03/30/2011
Last updated
03/30/2011
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