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NPI Code Detail

MEDICARE: MICHIGAN FERTILITY INSTITUTE PC

MEDICARE: MICHIGAN FERTILITY INSTITUTE PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207VG0400XGynecology Physician
2207VE0102XReproductive Endocrinology Physician

General Provider Information

NPI Number : 1952119307
Entity Type Code : Organization
Provider Name (Legal Business Name) : MICHIGAN FERTILITY INSTITUTE PC
Provider Business Mailing Address
First Line : 14801 FARMINGTON RD
Second Line :
City : LIVONIA
State : MI
Zip : 48154-5429
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 14801 FARMINGTON RD
Second Line :
City : LIVONIA
State : MI
Zip : 48154-5429
Country : US
Telephone Number : 313-444-0064
Fax Number :
Authorized Official
Title or Position : OFFICE MANAGER
Name : ALI BAZZI
Credential :
Telephone Number : 734-280-2600
Provider Enumeration Date : 12/18/2024
Last Update Date : 03/28/2025

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Directions to “MICHIGAN FERTILITY INSTITUTE PC ” Practice Location

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