Organization
ST CLAIR SHORES OBSTETRICS AND GYNECOLOGY, PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CONSTANTINE RAPHTIS D.O (MEMBER)
(586) 779-9400
Entity
Organization
Contact information
Practice address
46591 ROMEO PLANK RD, SUITE 225, MACOMB, MI 48044-5742
(586) 226-6155
(586) 226-6160
Mailing address
19714 TEN MILE ROAD, ST CLAIR SHORES, MI 48080
(586) 779-9400
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
11/01/2006
Last updated
08/22/2020
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