My Kids Doc-Southfield
NPI #1730187840 in Southfield, Michigan
Provider Information
- NPI Number
- 1730187840
- Entity Type
- Organization
- Organization Name
- My Kids Doc-Southfield
- Primary Specialty
- Pediatrics - Adolescent Medicine
- Enumeration Date
- Jul 12, 2005
- Last Updated
- Apr 29, 2009
Practice Location
- Address
- 29255 NORTHWESTERN HWY
- Address 2
- SUITE 100
- City
- Southfield
- State
- Michigan
- ZIP Code
- 48034-1018
- Phone
- (248) 358-2410
Authorized Official
- Name
- DR. PAMELA BERRY, MD
- Title
- OWNER/PHYSICIAN
- Phone
- (248) 358-2410
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pediatrics - Adolescent Medicine — Adolescent Medicine |
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