GROSSE PTE OBSTETRICS & GYN PC NPI 1396812624

NPI Information

  • NPI: 1396812624
  • Provider Name: GROSSE PTE OBSTETRICS & GYN PC
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Other Name: GROSSE POINTE OB &GYN
  • Address: 25910 KELLY RD
    STE 9
    ROSEVILLE, MI
    ZIP 48066
  • Phone: (586) 779-6222

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NPI Details

GROSSE PTE OBSTETRICS & GYN PC is a specialist in Roseville, MI. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. GROSSE PTE OBSTETRICS & GYN PC NPI is 1396812624. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Grosse Pointe Ob &gyn.

The provider's business location address is:

25910 KELLY RD
STE 9
ROSEVILLE, MI
ZIP 48066-466
Phone: (586) 779-6222
Fax: (586) 779-6228

The provider's authorized official is Grazyna Krystina Zajdel .
The authorized official title is Corporation President and has the following contact phone number (313) 882-6780.

The enumeration date for this NPI number is 11/30/2006 and was last updated on 12/15/2009.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistGZ051612MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10360747OTHERMICHIGANACOG NUMBER
2GZ051612OTHERMICHIGANMI STATE LICENSE
3A78218OTHERMICHIGANHAP PROVIDER NUMBER
43383620MEDICAIDMICHIGAN
51608250512OTHERMICHIGANBCBS NUMBER
6E87898MEDICARE UPINMICHIGAN
708250516161MEDICARE ID-TYPE UNSPECIFIEDMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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