Provider Demographics
NPI:1396852976
Name:CARSON CITY CENTER FOR WOMEN'S HEALTHCARE PC
Entity Type:Organization
Organization Name:CARSON CITY CENTER FOR WOMEN'S HEALTHCARE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:L
Authorized Official - Last Name:BECHER
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:989-584-3107
Mailing Address - Street 1:639 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:CARSON CITY
Mailing Address - State:MI
Mailing Address - Zip Code:48811-9795
Mailing Address - Country:US
Mailing Address - Phone:989-584-3107
Mailing Address - Fax:989-584-6458
Practice Address - Street 1:639 E MAIN ST
Practice Address - Street 2:
Practice Address - City:CARSON CITY
Practice Address - State:MI
Practice Address - Zip Code:48811-9795
Practice Address - Country:US
Practice Address - Phone:989-584-3107
Practice Address - Fax:989-584-6458
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-23
Last Update Date:2014-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty