NPI 1558456657

Advanced Healthcare for Women PC

Organisation Obstetrics & Gynecology Physician Troy, MI

Practice location

Address: 1777 Axtell Suite 102, Troy, MI 48084
Phone: (248) 822-6200

Authorised official

Name: Ira Mickelson
Title: President
Phone: (248) 822-6200

Registered specialties

Obstetrics & Gynecology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207V00000X Licence IM043839 (MI)

Other Obstetrics & Gynecology providers in Michigan →

Registry record

NPI: 1558456657
Entity type: Organization
NPI issued: 4 Oct 2006
Record last updated: 25 Apr 2014

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.