Individual
DR. BRIGITTE MASENGU NGOYI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
22050 GREATER MACK, ST. CLAIR SHORES, MI 48236
(586) 777-2550
(586) 777-2447
Mailing address
PO BOX 806070, ST CLAIR SHORES, MI 48080
(586) 777-2550
(586) 777-2447
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
4301407585
MI
207V00000X
Obstetrics & Gynecology Physician
BN407585
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
117658
GREAT LAKES
—
01
—
1608252141
BLUE CROSS BLUE SHIELD
—
05
—
2652582
—
MI
01
—
4301407585
CONTROLLED SUBSTANCE
—
05
—
4847009
—
MI
01
—
C0HRJ
CLEARING HOUSE SUBMITTER
—
01
—
C3423
M CARE PIN
—
Enumeration date
09/19/2005
Last updated
03/07/2023
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