NPI 1134355902

Gateway Obgyn Associates PLLC

Organisation Obstetrics & Gynecology Physician Detroit, MI

Practice location

Address: 2888 W Grand Blvd St. 287, Detroit, MI 48202-2612
Phone: (313) 875-4200

Authorised official

Name: Theodore Kevin Graham
Title: President
Phone: (313) 875-4200

Registered specialties

Obstetrics & Gynecology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207V00000X Licence 4301050455 (MI)

Other Obstetrics & Gynecology providers in Michigan →

Registry record

NPI: 1134355902
Entity type: Organization
NPI issued: 6 Jun 2009
Record last updated: 19 Jul 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.