# ADVANCED HEALTHCARE FOR WOMEN PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558456657
- **Authorized official:** IRA MICKELSON MD (PRESIDENT)
- **Authorized official phone:** (248) 822-6200

## Contact information

- **Practice address:** 1777 AXTELL, SUITE 102, TROY, MI 48084
- **Practice address phone:** (248) 822-6200
- **Mailing address:** 1777 AXTELL, SUITE 102, TROY, MI 48084
- **Mailing address phone:** (248) 822-6200

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | IM043839 | MI | Yes |

## Other

- **Enumeration date:** 10/04/2006
- **Last updated:** 04/25/2014