Organization
MICHIGAN INFERTILITY CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIS H STEPHENS JR. MD (OWNER)
(248) 647-5565
Entity
Organization
Contact information
Practice address
189 TOWNSEND ST, STE 200, BIRMINGHAM, MI 48009-6008
(248) 647-5565
(248) 647-0685
Mailing address
189 TOWNSEND ST, SUITE 200, BIRMINGHAM, MI 48009-6008
(248) 647-5565
(248) 647-0685
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
WS024907
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1606384752
BCBS
MI
Enumeration date
04/14/2008
Last updated
03/06/2009
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