Provider Demographics
NPI:1144206848
Name:MICHIGAN WOMENS HEALTH INSTITUTE,PC
Entity Type:Organization
Organization Name:MICHIGAN WOMENS HEALTH INSTITUTE,PC
Other - Org Name:PHYSICIANS OFFICE
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:A
Authorized Official - Last Name:MIGDAL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:248-855-6663
Mailing Address - Street 1:6900 ORCHARD LAKE RD
Mailing Address - Street 2:SUITE 306
Mailing Address - City:WEST BLOOMFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48322-3405
Mailing Address - Country:US
Mailing Address - Phone:248-855-6663
Mailing Address - Fax:248-855-7546
Practice Address - Street 1:6900 ORCHARD LAKE RD
Practice Address - Street 2:SUITE 306
Practice Address - City:WEST BLOOMFIELD
Practice Address - State:MI
Practice Address - Zip Code:48322-3405
Practice Address - Country:US
Practice Address - Phone:248-855-6663
Practice Address - Fax:248-855-7546
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-15
Last Update Date:2007-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0F36120Medicare PIN