Organization · NPI-2
Karmo Pediatric Center
Pediatrics, Adolescent Medicine · Southfield, MI
NPI number1013046655
StatusActive
Last updated in NPPESJun 10, 2021
Details
- NPI
- 1013046655
- Entity type
- Organization (NPI-2)
- Legal business name
- Karmo Pediatric Center
- Organization subpart
- Yes
- Enumeration date
- Mar 2, 2007
- Certification date
- Jun 10, 2021
- Last updated
- Jun 10, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2080A0000X | Pediatrics, Adolescent Medicine | – | – | Yes |
| 174400000X | Specialist | – | – |
Other names
- Vernor Pediatric PC (Doing Business As)
Practice location
26206 W 12 Mile RdSuite 106
Southfield, MI 48034-1754
Phone 248-354-1600 · Fax 248-354-1604
Mailing address
26206 W 12 Mile RdSuite 106
Southfield, MI 48034-1754
Phone 248-354-1600 · Fax 248-354-1604
Authorized official
Teresa Ball
Cpc
7348396610
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