Provider Demographics
NPI:1477832640
Name:ALTERNATIVE GYNECOLOGY PLLC
Entity Type:Organization
Organization Name:ALTERNATIVE GYNECOLOGY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:SONAGLIA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:313-882-8870
Mailing Address - Street 1:19557 MACK AVE
Mailing Address - Street 2:SUITE: B
Mailing Address - City:GROSSE POINTE WOODS
Mailing Address - State:MI
Mailing Address - Zip Code:48236-2859
Mailing Address - Country:US
Mailing Address - Phone:313-882-8870
Mailing Address - Fax:313-882-8864
Practice Address - Street 1:19557 MACK AVE
Practice Address - Street 2:SUITE: B
Practice Address - City:GROSSE POINTE WOODS
Practice Address - State:MI
Practice Address - Zip Code:48236-2859
Practice Address - Country:US
Practice Address - Phone:313-882-8870
Practice Address - Fax:313-882-8864
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-05
Last Update Date:2011-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301058067207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty