Healthcare Provider Details

I. General information

NPI: 1275840134
Provider Name (Legal Business Name): PLANNED PARENTHOOD OF MICHIGAN
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/13/2010
Last Update Date: 05/17/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

950 VICTORS WAY STE 100
ANN ARBOR MI
48108-5217
US

IV. Provider business mailing address

950 VICTORS WAY STE 100
ANN ARBOR MI
48108-5217
US

V. Phone/Fax

Practice location:
  • Phone: 734-926-4800
  • Fax: 734-926-4800
Mailing address:
  • Phone: 734-926-4800
  • Fax: 734-926-4800

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number01011970
License Number StateMI
# 3
Primary TaxonomyN
Taxonomy Code261QA0005X
TaxonomyAmbulatory Family Planning Facility
License Number01011970
License Number StateMI
# 4
Primary TaxonomyN
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number01011970
License Number StateMI
# 5
Primary TaxonomyY
Taxonomy Code261QA0005X
TaxonomyAmbulatory Family Planning Facility
License Number
License Number State

VIII. Authorized Official

Name: MARGARET M. HOLMES
Title or Position: COO
Credential:
Phone: 734-926-4800