Type | Legal entity | [sources] | |||
---|---|---|---|---|---|
Name | University Pediatricians | [sources] | |||
Legal form | not available | [sources] | |||
Country | United States | [sources] | |||
NPI | 1811920549 | [sources] | |||
Status | not available | [sources] | |||
Address | Detroit, MI | [sources] | |||
Last change | Last processed | First seen |
Providers who have been terminated for cause from Indiana Medicaid and CHIP.
United States of America · FSSA
us-medco-fd75fd0306e83a843c93dc8c22db07d4803230e0
· us-medin-fca693e36a05e83f969fa82dd70b07beeabb2d0d
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