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

Vernor Pediatric PC

Organization Pediatric Adolescent Medicine Physician · NPI 1073010625

Vernor Pediatric PC is a Pediatric Adolescent Medicine Physician in Detroit, Michigan. Licensed in Michigan. Registered with an NPI since 2018.

Licensed in
MI
In the registry since
2018
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

4607 W Vernor Hwy
Detroit, MI 48209-2117
Phone: (313) 554-3300
Fax: (313) 554-3303
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Adolescent Medicine Physician (primary) Taxonomy 2080A0000X · Licence NK069655 (MI)

Record details

NPI number1073010625
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationKarmo Pediatric Center
Authorized official Teresa Ball — Cpc · (734) 839-6610
Other names Karmo Pediatric Center
NPI enumeratedApril 10, 2018
Last updated in NPPESJune 10, 2021
Certification dateJune 10, 2021
Mailing address26206 W 12 Mile Rd Ste 106, Southfield, MI 48034-1799

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