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HURON VALLEY PEDIATRICS P.C. NPI 1730393034


NPI Information

NPI: 1730393034
Provider Name: HURON VALLEY PEDIATRICS, P.C.
Classification: Pediatrics - 2080A0000X
Entity Type: Organization

Specialization: Adolescent Medicine

CLIA Number: 23D1054781

Address:
2632 S MILFORD RD
HIGHLAND, MI
ZIP 48357
Phone: (248) 684-5510
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HURON VALLEY PEDIATRICS, P.C. is an adolescent medicine pediatrics in Highland, 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. HURON VALLEY PEDIATRICS, P.C. NPI is 1730393034. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2632 S MILFORD RD
HIGHLAND, MI
ZIP 48357-938
Phone: (248) 684-5510
Fax: (248) 684-5220

The provider's authorized official is Linda Devine .
The authorized official title is Practice Manager and has the following contact phone number (248) 684-5510.

The CLIA number assigned to this NPI record is 23D1054781 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/9/2007 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
12080A0000XPediatricsAdolescent MedicineMB006783MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11851373393OTHERMICHIGANNPI

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.