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Contact Information

PORT CITY PEDIATRICS
1455 FARR ROAD
NORTON SHORES, MI49444
 Phone: 231-737-0411
 Fax: 231-739-8502
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for PORT CITY PEDIATRICS · (Female)

NPI # 1558413245
Status Active
Credentials
Entity Individual
Enumeration date 01/16/2007
Last updated 04/07/2020 - About 6 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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