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NPI Code Detail

MEDICARE: WOMEN MEDICAL CENTER,PC

MEDICARE: WOMEN MEDICAL CENTER,PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207V00000XObstetrics & Gynecology Physician4301407322MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
20826935OTHERMIBLUE CROSS BLUE SHIELD

General Provider Information

NPI Number : 1598834038
Entity Type Code : Organization
Provider Name (Legal Business Name) : WOMEN MEDICAL CENTER,PC
Provider Business Mailing Address
First Line : 9724 DIX
Second Line :
City : DEARBORN
State : MI
Zip : 48120-1566
Country : US
Telephone Number : 313-841-3400
Fax Number : 313-841-6890
Provider Business Practice Location Address
First Line : 9724 DIX
Second Line :
City : DEARBORN
State : MI
Zip : 48120-1566
Country : US
Telephone Number : 313-841-3400
Fax Number : 313-841-6890
Authorized Official
Title or Position : OFFICE MANAGER
Name : MARTINA LENORA ABRAMS-ALDERMAN
Credential :
Telephone Number : 313-841-3400
Provider Enumeration Date : 11/07/2006
Last Update Date : 08/11/2015

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Directions to “WOMEN MEDICAL CENTER,PC ” Practice Location

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