Healthcare Provider Details

I. General information

NPI: 1457493835
Provider Name (Legal Business Name): WOMEN'S INTEGRATED HEALTH CARE, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/13/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10004 E LIPPINCOTT BLVD
DAVISON MI
48423-9013
US

IV. Provider business mailing address

10004 E LIPPINCOTT BLVD
DAVISON MI
48423-9013
US

V. Phone/Fax

Practice location:
  • Phone: 810-653-0388
  • Fax: 810-653-0929
Mailing address:
  • Phone: 810-653-0388
  • Fax: 810-653-0929

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: THOMAS C WRIGHT
Title or Position: PRESIDENT
Credential: D.O.
Phone: 810-653-0388