| Pediatric Feeding Solutions, LLC | |
|
17414 Nick Dr Macomb MI 48044-1669 | |
| (586) 216-5240 | |
| Not Available |
| Full Name | Pediatric Feeding Solutions, LLC |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 17414 Nick Dr, Macomb, Michigan |
| Authorized Official Name and Position | Marco Coletta (OWNER) |
| Authorized Official Contact | 5862165240 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Feeding Solutions, LLC 17414 Nick Dr Macomb MI 48044-1669 | Pediatric Feeding Solutions, LLC 17414 Nick Dr Macomb MI 48044-1669 Ph: (586) 216-5240 |
| NPI Number | 1508686361 |
|---|---|
| Provider Enumeration Date | 10/15/2024 |
| Last Update Date | 10/15/2024 |
| Certification Date | 10/15/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508686361 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | () | Primary |
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