Country Creek Pediatrics, PLLC
Pediatrics in Rochester, MI. Organization (NPI-2).
NPI number1194792168
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1194792168
- Entity type
- Organization (NPI-2)
- Legal business name
- Country Creek Pediatrics, PLLC
- Organization subpart
- No
- Enumeration date
- Mar 8, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | – | – | Yes |
Practice location
4986 N Adams RdSuite C
Rochester, MI 48306-1416
Phone 248-475-5601 · Fax 248-475-5632
Mailing address
4986 N Adams RdSuite C
Rochester, MI 48306-1416
Phone 248-475-5601 · Fax 248-475-5632
Authorized official
Elzbieta Anna Rozmiej
Manager
2484755601
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