Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Shelby Pediatric Associates and Child Lung Center PC

Organization Pediatrics Physician · NPI 1124051990

Shelby Pediatric Associates and Child Lung Center PC provides Pediatrics Physician services 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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