Children's Hospital of Michigan

NPI #1063767713 in Detroit, Michigan

Provider Information

NPI Number: 1063767713
Entity Type: Organization
Organization Name: Children's Hospital of Michigan
Primary Specialty: Clinic/Center - Urgent Care
Enumeration Date: Jul 18, 2012
Last Updated: Mar 7, 2013

Practice Location

Address: 3901 BEAUBIEN ST
City: Detroit
State: Michigan
ZIP Code: 48201-2119
Phone: (313) 745-5437

Authorized Official

Name: DR. KEISUKE UEDA, M.D.
Title: PEDIATRIC RESIDENT
Phone: (586) 532-3410

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Urgent Care — Urgent Care	261QU0200X	Primary

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