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Grosse Pte Obstetrics & Gyn Pc
Specialist in Roseville, Michigan
NPI 1396812624

Grosse Pte Obstetrics & Gyn Pc is a Specialist based in Roseville, MI. Grosse Pte Obstetrics & Gyn Pc practices in Roseville, MI. The NPI Number for Grosse Pte Obstetrics & Gyn Pc is 1396812624 and holds a License No. GZ051612 (Michigan).

The current practice location address for Grosse Pte Obstetrics & Gyn Pc is 25910 Kelly Rd, Roseville, MI and can be reached out via phone at 586-779-6222 and via fax at 586-779-6228.

Location: 25910 Kelly Rd, Roseville, MI, 48066-4466
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1396812624
Provider Name
Grosse Pte Obstetrics & Gyn Pc
Credential
Provider Entity Type
Organization
Address
25910 Kelly Rd, Roseville, MI, 48066-4466
Phone Number
586-779-6222
Fax Number
586-779-6228
Provider Enumeration Date
11/30/2006
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
3383620 05 MI
GZ051612 01 MI MI STATE LICENSE
A78218 01 MI HAP PROVIDER NUMBER
0360747 01 MI ACOG NUMBER
1608250512 01 MI BCBS NUMBER
institution
Provider Business Practice Location Address Details
Address
25910 Kelly Rd
City
Roseville
State
Michigan
Zip
48066-4466
Phone Number
586-779-6222
Fax Number
586-779-6228
person
Provider Business Mailing Address Details
Address
25910 Kelly Rd
City
Roseville
State
Michigan
Zip
48066-4466
Phone Number
586-779-6222
Fax Number
586-779-6228
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
GZ051612 (Michigan)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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