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Contact Information

INTEGRATIVE PEDIATRIC GI AND LIFESTYLE MEDICINE
1123 VILLA LINDE CT STE 38
FLINT, MI48532-3410
 Phone: 810-733-7221
 Fax: 810-733-7280
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Gastroenterology

2080P0206X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for INTEGRATIVE PEDIATRIC GI AND LIFESTYLE MEDICINE · (Female)

NPI # 1386359263
Status Active
Credentials
Entity Individual
Enumeration date 01/16/2023
Last updated 01/16/2023 - About 3 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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