Organization
LUKE OBGYN CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMIAH WHITTINGTON M.D. (PRESIDENT)
(248) 353-9460
Entity
Organization
Contact information
Practice address
30400 TELEGRAPH RD, SUITE 350, BINGHAM FARMS, MI 48025-4537
(248) 353-9460
(248) 353-8084
Mailing address
30400 TELEGRAPH RD, SUITE 350, BINGHAM FARMS, MI 48025-4537
(248) 353-9460
(248) 353-8084
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
4301042251
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104504490
—
MI
01
—
160631551
BCBS
MI
Enumeration date
07/02/2007
Last updated
09/24/2009
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