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

Pediatrics PC

Organization Pediatrics Physician · NPI 1265421069

Pediatrics PC is a Pediatrics Physician in Portage, Michigan. Registered with an NPI since 2005.

In the registry since
2005
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

670 Mall Dr
Portage, MI 49024-2878
Phone: (269) 327-1900
Fax: (269) 327-1564
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X

Record details

NPI number1265421069
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stephen Lull — President · (269) 327-1900
NPI enumeratedOctober 14, 2005
Last updated in NPPESAugust 22, 2020
Mailing address670 Mall Dr, Portage, MI 49024-2878

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