Parkside Pediatric Clinic,p.c.

NPI #1477781169 in Jackson, Michigan

Provider Information

NPI Number: 1477781169
Entity Type: Organization
Organization Name: Parkside Pediatric Clinic,p.c.
Primary Specialty: Pediatrics
Enumeration Date: Jul 1, 2009
Last Updated: Jul 1, 2009

Practice Location

Address: 2100 4TH ST
City: Jackson
State: Michigan
ZIP Code: 49203-4518
Phone: (517) 787-4332

Authorized Official

Name: KATIKINENI V RAO, MD
Title: PRESIDENT
Phone: (517) 787-4332

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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