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Lake Huron Ob Gyn Pllc
Obstetrics & Gynecology Physician in Bad Axe, Michigan
NPI 1013095173

Lake Huron Ob Gyn Pllc is a Obstetrics & Gynecology Physician based in Bad Axe, MI. Lake Huron Ob Gyn Pllc practices in Bad Axe, MI. The NPI Number for Lake Huron Ob Gyn Pllc is 1013095173 and holds a License No. NK013377 (Michigan).

The current practice location address for Lake Huron Ob Gyn Pllc is 1005 S Van Dyke Rd, Bad Axe, MI and can be reached out via phone at 989-269-3923 and via fax at 989-269-3983.

Location: 1005 S Van Dyke Rd, Bad Axe, MI, 48413-9614
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1013095173
Provider Name
Lake Huron Ob Gyn Pllc
Credential
Provider Entity Type
Organization
Address
1005 S Van Dyke Rd, Bad Axe, MI, 48413-9614
Phone Number
989-269-3923
Fax Number
989-269-3983
Provider Enumeration Date
11/02/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1653210895 01 MI BLUE CROSS BLUE SHIELD MI
1603210171 01 MI BLUE CROSS BLUE SHIELD MI
4624157 05 MI
4645433 05 MI
institution
Provider Business Practice Location Address Details
Address
1005 S Van Dyke Rd
City
Bad Axe
State
Michigan
Zip
48413-9614
Phone Number
989-269-3923
Fax Number
989-269-3983
person
Provider Business Mailing Address Details
Address
1005 S Van Dyke Rd
City
Bad Axe
State
Michigan
Zip
48413-9614
Phone Number
989-269-3923
Fax Number
989-269-3983
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
207V00000X
License No.
NK013377 (Michigan)
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
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