Healthcare Provider Details

I. General information

NPI: 1871411827
Provider Name (Legal Business Name): MICHIGAN FERTILITY INSTITUTE TROY PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2026
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

415 E MAPLE RD STE 101
TROY MI
48083-2731
US

IV. Provider business mailing address

14815 FARMINGTON RD
LIVONIA MI
48154-5429
US

V. Phone/Fax

Practice location:
  • Phone: 734-280-2600
  • Fax:
Mailing address:
  • Phone: 734-280-2600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VE0102X
TaxonomyReproductive Endocrinology Physician
License Number
License Number State

VIII. Authorized Official

Name: ALI A BAZZI
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 734-280-2600