Grand Blanc Pediatrics

LBN: Grand Blanc Pediatrics
Grand Blanc Pediatrics is an health care organization with primary practice located at 8220 S Saginaw St Suite 1000, Grand Blanc MI 48439-1890. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Grand Blanc Pediatrics can be contacted via phone (810) 695-6565, or through Haddad, Fawaz via phone (810) 695-6565.

Contact Information

Primary practice address
8220 S Saginaw St Suite 1000 Grand Blanc MI 48439-1890
Fax: (810) 695-9476
Website:
Authorized official contact:
Name: Haddad, Fawaz Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X FH063791 Michigan

Profile Details

NPI number 1962625947
LBN Legal business name Grand Blanc Pediatrics
DBA Doing business as
Authorized official Haddad, Fawaz Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 10th, 2007
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962625947 NPPES
Michigan MEDICAID 4675100

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