Organization
MASON PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEWIS DAVID RESNICK MD (PRESIDENT)
(517) 244-8950
Entity
Organization
Contact information
Practice address
800 E COLUMBIA ST, SUITE 3, MASON, MI 48854-1381
(517) 244-8950
(517) 244-8951
Mailing address
PO BOX 10, MASON, MI 48854-0010
(517) 676-9788
(517) 676-3438
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
38957
MI
Other
Enumeration date
08/05/2006
Last updated
08/22/2020
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