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MACOMB COUNTY PEDIATRICS DBA CLINTON PREFERRED PEDIATRICS PC NPI 1194743898


NPI Information

NPI: 1194743898
Provider Name: MACOMB COUNTY PEDIATRICS DBA CLINTON PREFERRED PEDIATRICS, PC
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 23D2004363

Address:
15500 19 MILE RD
SUITE 300
CLINTON TOWNSHIP, MI
ZIP 48038
Phone: (586) 263-6464
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MACOMB COUNTY PEDIATRICS DBA CLINTON PREFERRED PEDIATRICS, PC is a pediatrics in Clinton Township, MI. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. MACOMB COUNTY PEDIATRICS DBA CLINTON PREFERRED PEDIATRICS, PC NPI is 1194743898. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

15500 19 MILE RD
SUITE 300
CLINTON TOWNSHIP, MI
ZIP 48038-330
Phone: (586) 263-6464
Fax: (586) 263-8491

The provider's authorized official is Siegfried Schweighofer .
The authorized official title is Secretary-treasurer and has the following contact phone number (586) 263-6464.

The CLIA number assigned to this NPI record is 23D2004363 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/18/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatricsYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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