GATEWAY OBGYN ASSOCIATES PLLC NPI 1134355902

NPI Information

GATEWAY OBGYN ASSOCIATES PLLC is an obstetrics gynecology in Detroit, MI. The provider is 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 a primary physician for women. GATEWAY OBGYN ASSOCIATES PLLC NPI is 1134355902. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2888 W GRAND BLVD
ST. 287
DETROIT, MI
ZIP 48202-612
Phone: (313) 875-4200

The provider's authorized official is Theodore Kevin Graham .
The authorized official title is President and has the following contact phone number (313) 875-4200.

The enumeration date for this NPI number is 6/6/2009 and was last updated on 7/19/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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