Pediatric & Adolescent Healthcare Associates, PC

NPI #1346428315 in Marquette, Michigan

Provider Information

NPI Number: 1346428315
Entity Type: Organization
Organization Name: Pediatric & Adolescent Healthcare Associates, PC
Primary Specialty: Specialist
Enumeration Date: Feb 1, 2008
Last Updated: Feb 1, 2008

Practice Location

Address: 1414 W FAIR AVE
Address 2: SUITE 226
City: Marquette
State: Michigan
ZIP Code: 49855-2675
Phone: (906) 225-3925

Authorized Official

Name: DR. MICHAEL NIDIFFER, MD
Title: OWNER
Phone: (906) 225-3925

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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