Provider Demographics
NPI:1700241072
Name:CHILDREN'S HOSPITAL OF MICHIGAN
Entity Type:Organization
Organization Name:CHILDREN'S HOSPITAL OF MICHIGAN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF TRAINING
Authorized Official - Prefix:
Authorized Official - First Name:ARTHUR
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBIN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:313-745-5437
Mailing Address - Street 1:4201 SAINT ANTOINE ST
Mailing Address - Street 2:UNIVERSITY HEALTH CENTER, SUITE 4B
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48201-2153
Mailing Address - Country:US
Mailing Address - Phone:248-910-2901
Mailing Address - Fax:
Practice Address - Street 1:4201 SAINT ANTOINE ST
Practice Address - Street 2:UNIVERSITY HEALTH CENTER, SUITE 4B
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48201-2153
Practice Address - Country:US
Practice Address - Phone:248-910-2901
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DETROIT MEDICAL CENTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-12-30
Last Update Date:2015-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NC2000XHospitalsGeneral Acute Care HospitalChildren