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Organization

FOX PEDIATRICS,PLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CONSTANZA I FOX MD (OWNER)
(989) 400-4369
Entity
Organization

Contact information

Practice address
1205 S MISSION ST, SUITE 4, MOUNT PLEASANT, MI 48858-3939
(989) 400-4369
(989) 400-4769
Mailing address
1205 S MISSION ST, SUITE 4, MOUNT PLEASANT, MI 48858-3939
(989) 400-4369
(989) 400-4769

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301087542
MI

Other

Enumeration date
07/27/2015
Last updated
07/27/2015
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