Individual
ALCESA ABELGAS BACKOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD FAAP
Contact information
Practice address
CHILDREN'S HOSPITAL OF MI, 3950 BEAUBIEN, DETROIT, MI 48201
(313) 832-8290
(313) 993-0081
Mailing address
4201 SAINT ANTOINE ST, UHC 5D MAILBOX 226 UNIVERSITY PEDIATRICIANS, DETROIT, MI 48201-2153
(313) 745-4405
(313) 966-0665
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
4301048246
MI
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
4301048246
MI
Other
Enumeration date
05/31/2006
Last updated
01/13/2017
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