Mikids Pediatrics, PC

NPI #1043722176 in Caledonia, Michigan

Provider Information

NPI Number: 1043722176
Entity Type: Organization
Organization Name: Mikids Pediatrics, PC
Primary Specialty: Pediatrics
Enumeration Date: Oct 30, 2017
Last Updated: Mar 4, 2019

Practice Location

Address: 7150 KALAMAZOO AVE SE
Address 2: SUITE A
City: Caledonia
State: Michigan
ZIP Code: 49316
Phone: (616) 818-7454

Authorized Official

Name: NICOLE GARBACIK
Title: CREDENTIALING SPECIALIST
Phone: (616) 235-4800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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