Arbor Autism Pediatric Medical Centers PLLC
Pediatrics, Developmental - Behavioral Pediatrics in Ypsilanti, MI. Organization (NPI-2).
NPI number1891451035
StatusActive
Last updated in NPPESMay 1, 2023
Details
- NPI
- 1891451035
- Entity type
- Organization (NPI-2)
- Legal business name
- Arbor Autism Pediatric Medical Centers PLLC
- Organization subpart
- No
- Enumeration date
- Nov 11, 2021
- Certification date
- May 1, 2023
- Last updated
- May 1, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2080P0006X | Pediatrics, Developmental - Behavioral Pediatrics | – | – | Yes |
| 208000000X | Pediatrics | – | – | |
| 363L00000X | Nurse Practitioner | – | – |
Practice location
850 S Hewitt Rd Ste 100Ypsilanti, MI 48197-4594
Phone 734-544-5561 · Fax 734-527-5981
Mailing address
850 S Hewitt Rd Ste 100Ypsilanti, MI 48197-4594
Phone 734-544-5561 · Fax 734-527-5981
Authorized official
Philip Menard
Manager
7346571470
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