Healthcare Provider Details

I. General information

NPI: 1902819022
Provider Name (Legal Business Name): WOMEN'S INTEGRATED HEALTH CARE, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/14/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1595 GENESYS PKWY
GRAND BLANC MI
48439-8068
US

IV. Provider business mailing address

1595 GENESYS PKWY
GRAND BLANC MI
48439-8068
US

V. Phone/Fax

Practice location:
  • Phone: 810-606-9190
  • Fax: 810-606-9400
Mailing address:
  • Phone: 810-606-9190
  • Fax: 810-606-9400

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: 810-606-9190