Healthcare Provider Details

I. General information

NPI: 1568400018
Provider Name (Legal Business Name): PREMIER WOMEN'S HEALTH P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/04/2006
Last Update Date: 01/22/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

31500 TELEGRAPH RD SUITE 220
BINGHAM FARMS MI
48025-4367
US

IV. Provider business mailing address

31500 TELEGRAPH RD SUITE 220
BINGHAM FARMS MI
48025-4367
US

V. Phone/Fax

Practice location:
  • Phone: 248-723-6200
  • Fax: 248-723-6671
Mailing address:
  • Phone: 248-723-6200
  • Fax: 248-723-6671

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: DR. CHRISTINE H MATOIAN
Title or Position: PRESIDENT
Credential: MD
Phone: 248-723-6200