Organization Name: | PEDIATRIC CARE CORNER PC |
NPI Number: | 1508864687 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CONSTANCE ROWLEY (OWNER/PHYSICIAN) |
Mailing Address: | 2300 Haggerty Rd Suite 2110 W Bloomfield |
State: | MI US |
Postal Code: | 483232184 |
Phone Number: | 2489261411 |
Fax Number: | 2489265338 |
NPI Enumeration Date: | 07/12/2005 |
NPI Last Update Date: | 10/16/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2080A0000X |
License Number: | CR010295 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Pediatrics |
Taxonomy Specialization: | Adolescent Medicine |
Taxonomy Definition: | A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |