| Grosse Pointe Pediatrics/internal Medicine | |
|
20440 Harper Ave Harper Woods MI 48225-1644 | |
| (313) 640-9400 | |
| (313) 640-8878 |
| Full Name | Grosse Pointe Pediatrics/internal Medicine |
|---|---|
| Speciality | Internal Medicine |
| Location | 20440 Harper Ave, Harper Woods, Michigan |
| Authorized Official Name and Position | Valerie K Hudson (OWNER) |
| Authorized Official Contact | 3136409400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Grosse Pointe Pediatrics/internal Medicine 20440 Harper Ave Harper Woods MI 48225-1644 Ph: (313) 640-9400 | Grosse Pointe Pediatrics/internal Medicine 20440 Harper Ave Harper Woods MI 48225-1644 Ph: (313) 640-9400 |
| NPI Number | 1306023536 |
|---|---|
| Provider Enumeration Date | 01/30/2008 |
| Last Update Date | 04/19/2012 |
| Medicare PECOS PAC ID | 8224101928 |
|---|---|
| Medicare Enrollment ID | O20110421000653 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306023536 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 4301060360 (Michigan) | Primary |
| Provider Name | Valerie Kathleen Hudson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073662730 PECOS PAC ID: 1052484755 Enrollment ID: I20110511000376 |
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