Healthcare Provider Details
I. General information
NPI: 1356369292
Provider Name (Legal Business Name): PARTNERS IN WOMEN'S HEALTH, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/18/2006
Last Update Date: 09/03/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
601 JOHN ST SUITE N-1100
KALAMAZOO MI
49007-5341
US
IV. Provider business mailing address
601 JOHN ST SUITE N-1100
KALAMAZOO MI
49007-5341
US
V. Phone/Fax
- Phone: 269-343-4609
- Fax: 269-343-8424
- Phone: 269-343-4609
- Fax: 269-343-8424
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 176B00000X |
| Taxonomy | Midwife |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207V00000X |
| Taxonomy | Obstetrics & Gynecology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
GREGORY
J
FELDMEIER
Title or Position: PRESIDENT
Credential: M.D.
Phone: 269-343-4609