SOUTHFIELD OBSTERICAL AND GYNECOLOGIC INSTITUTE P.C. NPI 1770021354

NPI Information

SOUTHFIELD OBSTERICAL AND GYNECOLOGIC INSTITUTE P.C. is a gynecology obstetrics gynecology in Southfield, MI. The provider is a physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee SOUTHFIELD OBSTERICAL AND GYNECOLOGIC INSTITUTE P.C. NPI is 1770021354. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

29275 NORTHWESTERN HWY STE 207
SOUTHFIELD, MI
ZIP 48034-744
Phone: (248) 354-2201
Fax: (248) 354-2220

The provider's authorized official is Patrice L Harold .
The authorized official title is M.d./ Owner and has the following contact phone number (248) 354-2201.

The CLIA number assigned to this NPI record is 23D0975405 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 2/3/2017 and was last updated on 2/3/2017.

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:

Other Identifiers

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

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