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REPRODUCTIVE MEDICINE ASSOC. NPI 1972689453


NPI Information

NPI: 1972689453
Provider Name: REPRODUCTIVE MEDICINE ASSOC.
Classification: Obstetrics & Gynecology - 207VE0102X
Entity Type: Organization

Specialization: Reproductive Endocrinology

CLIA Number: 23D1064315

Address:
130 TOWN CENTER DR
SUITE 106
TROY, MI
ZIP 48084
Phone: (248) 619-9030
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REPRODUCTIVE MEDICINE ASSOC. is a reproductive endocrinology obstetrics gynecology in Troy, MI. The provider is an obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility. REPRODUCTIVE MEDICINE ASSOC. NPI is 1972689453. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

130 TOWN CENTER DR
SUITE 106
TROY, MI
ZIP 48084-744
Phone: (248) 619-9030
Fax: (248) 619-9031

The provider's authorized official is Leslie A Wrolstad .
The authorized official title is Practice Administrator and has the following contact phone number (248) 619-3100.

The CLIA number assigned to this NPI record is 23D1064315 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 10/27/2006 and was last updated on 7/30/2008.


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
1207VE0102XObstetrics & GynecologyReproductive EndocrinologyYes

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: 5/5/2024

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