| NPI | 1912962978 |
|---|---|
| Other Name | PH OBSTETRICS/GYNECOLOGY/PROVIDENCE HOSPTIAL AND MEDICAL CENTERS INC |
| Entity Type | Organization |
| Authorized Contact | SARAH STARKEL Credentialing COO Rdinator 248-680-8121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Additional Taxonomies | 207VF0040X Obstetrics & Gynecology Female Pelvic Medicine and Reconstructive Surgery |
| 207VM0101X Obstetrics & Gynecology Maternal & Fetal Medicine | |
| 208600000X Surgery | |
| 2088F0040X Urology Female Pelvic Medicine and Reconstructive Surgery | |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2023-11-15 |