Organization
RENAISSANCE WOMEN'S HEALTH, PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHANIE LYNNE FITZGERALD D.O. (CEO)
(231) 398-0222
Entity
Organization
Contact information
Practice address
1293 E PARKDALE AVE, SUITE 1200A, MANISTEE, MI 49660-8904
(231) 398-0222
(231) 398-0225
Mailing address
1293 E PARKDALE AVE, SUITE 1200A, MANISTEE, MI 49660-8904
(231) 398-0222
(231) 398-0225
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
5101012161
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4074432
—
MI
Enumeration date
01/02/2008
Last updated
04/28/2008
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