Organization
BRISTOL STREET PEDIATRICS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LYNNETTE M VALENTIJN MD (PARTNER)
(574) 262-0313
Entity
Organization
Contact information
Practice address
1627 E BRISTOL ST, ELKHART, IN 46514-3817
(574) 262-0313
(574) 262-8163
Mailing address
1627 E BRISTOL ST, ELKHART, IN 46514-3817
(574) 262-0313
(574) 262-8163
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
01037473
IN
Other
Enumeration date
06/16/2005
Last updated
04/01/2008
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