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ADVANCED HEALTHCARE FOR WOMEN PC NPI 1558456657


NPI Information

NPI: 1558456657
Provider Name: ADVANCED HEALTHCARE FOR WOMEN PC
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization
Address:
1777 AXTELL
SUITE 102
TROY, MI
ZIP 48084
Phone: (248) 822-6200
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ADVANCED HEALTHCARE FOR WOMEN PC is an obstetrics gynecology in Troy, 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. ADVANCED HEALTHCARE FOR WOMEN PC NPI is 1558456657. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1777 AXTELL
SUITE 102
TROY, MI
ZIP 48084
Phone: (248) 822-6200

The provider's authorized official is Ira Mickelson .
The authorized official title is President and has the following contact phone number (248) 822-6200.

The enumeration date for this NPI number is 10/4/2006 and was last updated on 4/25/2014.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207V00000XObstetrics & GynecologyIM043839MICHIGANYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10N32150MEDICARE PINMICHIGAN
2B46469MEDICARE UPINMICHIGAN
3160F318220OTHERMICHIGANBCBS OF MICHIGAN

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: 11/14/2023

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