Organization
ASSOCIATES IN OBSTETRICS AND GYNECOLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARCIE HENSON (OFFICE MANAGER)
(248) 465-4340
Entity
Organization
Contact information
Practice address
26850 PROVIDENCE PKWY, SUITE 315, NOVI, MI 48374-1213
(248) 465-4340
(248) 465-4341
Mailing address
26850 PROVIDENCE PKWY, SUITE 315, NOVI, MI 48374-1213
(248) 465-4340
(248) 465-4341
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
160F301520
BLUE CROSS
MI
05
—
4495560
—
MI
Enumeration date
12/06/2005
Last updated
08/12/2015
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