Organization
WEST BLOOMFIELD PEDIATRICS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN B GLICKFIELD DO (PHYSICIAN)
(248) 788-1200
Entity
Organization
Contact information
Practice address
6400 FARMINGTON ROAD, SUITE TEN, W BLOOMFIELD, MI 48322
(248) 788-1200
(248) 788-2346
Mailing address
46325 WEST TWELVE MILE ROAD, SUITE 240, NOVI, MI 48377
(248) 596-1000
(248) 305-8250
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301068662
MI
208000000X
Pediatrics Physician
4301076640
MI
208000000X
Pediatrics Physician
4301086791
MI
208000000X
Pediatrics Physician
5101006183
MI
Other
Enumeration date
05/09/2007
Last updated
08/22/2020
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