Provider Demographics
NPI:1346470762
Name:WOMENS OB/GYN AND BLADDER SOLUTIONS CENTER, P.C.
Entity Type:Organization
Organization Name:WOMENS OB/GYN AND BLADDER SOLUTIONS CENTER, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:C
Authorized Official - Last Name:WRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:810-606-7739
Mailing Address - Street 1:5625 WATER TOWER PL STE 200
Mailing Address - Street 2:
Mailing Address - City:CLARKSTON
Mailing Address - State:MI
Mailing Address - Zip Code:48346-2674
Mailing Address - Country:US
Mailing Address - Phone:248-922-0615
Mailing Address - Fax:248-620-4631
Practice Address - Street 1:5625 WATER TOWER PL STE 200
Practice Address - Street 2:
Practice Address - City:CLARKSTON
Practice Address - State:MI
Practice Address - Zip Code:48346-2674
Practice Address - Country:US
Practice Address - Phone:248-922-0615
Practice Address - Fax:248-620-4631
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-20
Last Update Date:2009-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty