Provider Demographics
NPI:1063848166
Name:MOTHER ORIENTED MIDWIFERY
Entity Type:Organization
Organization Name:MOTHER ORIENTED MIDWIFERY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MIDWIFE
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:N
Authorized Official - Last Name:BUCUR
Authorized Official - Suffix:
Authorized Official - Credentials:DEM
Authorized Official - Phone:850-345-3348
Mailing Address - Street 1:3581 CENTURY TRL
Mailing Address - Street 2:
Mailing Address - City:YPSILANTI
Mailing Address - State:MI
Mailing Address - Zip Code:48197-6172
Mailing Address - Country:US
Mailing Address - Phone:734-666-5077
Mailing Address - Fax:
Practice Address - Street 1:3581 CENTURY TRL
Practice Address - Street 2:
Practice Address - City:YPSILANTI
Practice Address - State:MI
Practice Address - Zip Code:48197-6172
Practice Address - Country:US
Practice Address - Phone:850-345-3348
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-20
Last Update Date:2013-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302F00000XManaged Care OrganizationsExclusive Provider Organization