Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

My Kids Doc-Southfield

Organization Pediatric Adolescent Medicine Physician · NPI 1730187840

My Kids Doc-Southfield is a Pediatric Adolescent Medicine Physician in Southfield, Michigan. Licensed in Michigan. Registered with an NPI since 2005.

Licensed in
MI
In the registry since
2005

Practice location Address checks out

29255 Northwestern Hwy Ste 100
Southfield, MI 48034-1018
Phone: (248) 358-2410
Fax: (248) 358-2470
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Adolescent Medicine Physician (primary) Taxonomy 2080A0000X · Licence PB047877 (MI)

Record details

NPI number1730187840
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Pamela Berry — Owner/Physician · (248) 358-2410
NPI enumeratedJuly 12, 2005
Last updated in NPPESApril 29, 2009
Mailing addressPo Box 33321, Drawer 117, Detroit, MI 48232-5321

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