Organization
PARTRIDGE CREEK OBSTETRICS & GYNECOLOGY,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RHONDA L KOBOLD D.O. (PRESIDENT)
(586) 247-8609
Entity
Organization
Contact information
Practice address
19991 HALL RD, STE 105, MACOMB, MI 48044
(586) 247-8609
(586) 247-8615
Mailing address
19991 HALL RD, STE 105, MACOMB, MI 48044-4254
(586) 247-8609
(586) 247-8615
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
5101012054
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4195400
—
MI
05
—
4195410
—
MI
Enumeration date
10/12/2006
Last updated
04/04/2017
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