Organization
HURON VALLEY PEDIATRICS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA DEVINE (PRACTICE MANAGER)
(248) 684-5510
Entity
Organization
Contact information
Practice address
2632 S MILFORD RD, HIGHLAND, MI 48357-4938
(248) 684-5510
(248) 684-5220
Mailing address
2632 S MILFORD RD, HIGHLAND, MI 48357-4938
(248) 684-5510
(248) 684-5220
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
MB006783
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1851373393
NPI
MI
Enumeration date
05/09/2007
Last updated
08/22/2020
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