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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

NPI Number 1558413245
LBN Legal business name PORT CITY PEDIATRICS
Authorized official RICHARD GOLZ - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 01/16/2007
Last updated 04/07/2020 - About 6 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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