Healthcare Provider Details

I. General information

NPI: 1871671081
Provider Name (Legal Business Name): CHILD HEALTH ASSOCIATES PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/02/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

36700 WOODWARD AVE 300
BLOOMFIELD HILLS MI
48304
US

IV. Provider business mailing address

36700 WOODWARD AVE 300
BLOOMFIELD HILLS MI
48304
US

V. Phone/Fax

Practice location:
  • Phone: 248-203-6620
  • Fax: 248-203-0093
Mailing address:
  • Phone: 248-203-6620
  • Fax: 248-203-0093

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number4301025896
License Number StateMI

VIII. Authorized Official

Name: STANFORD A SINGER
Title or Position: PRES
Credential: MD
Phone: 248-203-6620