Healthcare Provider Details

I. General information

NPI: 1407442437
Provider Name (Legal Business Name): AURAND OB GYN PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/14/2020
Last Update Date: 12/14/2020
Certification Date: 12/14/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1060 S VAN DYKE RD STE 700
BAD AXE MI
48413-9632
US

IV. Provider business mailing address

1060 S VAN DYKE RD STE 700
BAD AXE MI
48413-9632
US

V. Phone/Fax

Practice location:
  • Phone: 989-269-6990
  • Fax:
Mailing address:
  • Phone: 989-269-6990
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State

VIII. Authorized Official

Name: LISA AURAND
Title or Position: OFFICE MANAGER
Credential:
Phone: 989-269-6990