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WESTLAND PEDIATRIC ASSOCIATES PLLC NPI 1609422716


NPI Information

NPI: 1609422716
Provider Name: WESTLAND PEDIATRIC ASSOCIATES PLLC

Doing Business As: WESTLAND PEDIATRIC ASSOCIATES PLLC

Classification: Pediatrics - 2080A0000X
Entity Type: Organization

Specialization: Adolescent Medicine

CLIA Number: 23D0673028

Address:
37660 FORD RD
WESTLAND, MI
ZIP 48185
Phone: (734) 326-6333
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WESTLAND PEDIATRIC ASSOCIATES PLLC is an adolescent medicine pediatrics in Westland, MI. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. WESTLAND PEDIATRIC ASSOCIATES PLLC NPI is 1609422716. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Westland Pediatric Associates Pllc.

The provider's business location address is:

37660 FORD RD
WESTLAND, MI
ZIP 48185-924
Phone: (734) 326-6333
Fax: (734) 326-7105

The provider's authorized official is Bridget Chinyere Agomuoh .
The authorized official title is Manager and has the following contact phone number (734) 326-6333.

The CLIA number assigned to this NPI record is 23D0673028 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/14/2019 and was last updated on 11/18/2021.


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
12080A0000XPediatricsAdolescent MedicineYes

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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