Organization
PEDIATRIC NEPHROLOGY ASSOCIATES OF MICHIGAN PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLGA BLANEY (PRATICE MANAGER)
(734) 712-3471
Entity
Organization
Contact information
Practice address
5333 MCAULEY DRIVE, SUITE 4003, YPSILANTI, MI 48197-1099
(734) 712-3888
Mailing address
5333 MCAULEY DRIVE, SUITE 4003, YPSILANTI, MI 48197-1099
(734) 712-3888
Taxonomy
Speciality
Code
Description
License number
State
2080P0210X
Pediatric Nephrology Physician
Primary
—
—
Other
Enumeration date
03/16/2009
Last updated
03/31/2009
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