is a Obstetrics & Gynecology in W Bloomfield, Michigan. practices all healthcare services and medical treatments related to Obstetrics & Gynecology. The NPI Number for is 1265543318. The last update date is .
's current location address is 2725 Warner Dr, W Bloomfield, Michigan. You can contact this provider via phone number 2483607797. The mailing address for is 2725 Warner Dr, W Bloomfield, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 2725 Warner Dr, W Bloomfield, Michigan |
| Phone Number | 2483607797 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1265543318 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 2725 Warner Dr |
|---|---|
| City | W Bloomfield |
| State | Michigan (MI) |
| Post Code | 483242445 |
| Phone Number | 2483607797 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Obstetrics & Gynecology |
|---|---|
| Taxonomy | 207V00000X |
| Licence No | 430103648 |
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Definition: An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 10-4520161 | MI | -- | |
| 10-4170054 | MI | -- | |
| 10-4609965 | MI | -- | |
| 104170036 | MI | -- | |
| 10-4170027 | MI | -- |
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