Organization
MEDICAL CENTER PEDIATRICS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN SAUBER MD (MANAGER)
(248) 642-5437
Entity
Organization
Contact information
Practice address
30400 TELEGRAPH RD, SUITE 101, BINGHAM FARMS, MI 48025
(248) 642-5437
(248) 642-5456
Mailing address
30400 TELEGRAPH RD, SUITE 101, BINGHAM FARMS, MI 48025
(248) 642-5437
(248) 642-5456
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
350F317240
BCBS M
MI
Enumeration date
09/16/2006
Last updated
03/19/2022
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