Organization
MISSION OBSTETRICS & GYNECOLOGY P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEBRA A YERKE (BILLING MANAGER)
(586) 582-9297
Entity
Organization
Contact information
Practice address
11300 E 13 MILE RD, SUITE 4, WARREN, MI 48093-2500
(586) 574-1313
(586) 574-0842
Mailing address
11300 E 13 MILE RD, SUITE 4, WARREN, MI 48093-2500
(586) 574-1313
(586) 574-0842
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
160E010210
BCBSM
MI
Enumeration date
10/24/2006
Last updated
06/10/2019
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