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

Shelby Pediatric Associates and Child Lung Center PC

Organization Pediatrics Physician · NPI 1124051990

Shelby Pediatric Associates and Child Lung Center PC is a Pediatrics Physician in Shelby Township, Michigan. Licensed in Michigan. Registered with an NPI since 2006.

Licensed in
MI
In the registry since
2006
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

15125 22 Mile Rd
Shelby Township, MI 48315-4406
Phone: (586) 532-0599
Fax: (586) 566-8967
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence AR2460549 (MI)

Record details

NPI number1124051990
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Maria Pellerito — Office Manager · (586) 532-0599
NPI enumeratedJuly 7, 2006
Last updated in NPPESMarch 27, 2024
Certification dateMarch 27, 2024
Mailing address15125 22 Mile Rd, Shelby Township, MI 48315-4406

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