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Organization

PEDIATRIC LOCUM CARE PLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SYED G MOHIUDDIN MD (OWNER)
(810) 664-4531
Entity
Organization

Contact information

Practice address
44201 DEQUINDRE RD, TROY, MI 48085-1117
(248) 964-5000
Mailing address
PO BOX 251, LAPEER, MI 48446-0251
(810) 664-4531

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301048359
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3506363151
BLUE CROSS BLUE SHIELD MI
MI
Enumeration date
02/15/2008
Last updated
04/16/2008
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