Provider Demographics
NPI:1508096934
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 1:17200 SILVER PKWY
Mailing Address - Street 2:
Mailing Address - City:FENTON
Mailing Address - State:MI
Mailing Address - Zip Code:48430-3423
Mailing Address - Country:US
Mailing Address - Phone:810-714-5361
Mailing Address - Fax:810-714-9661
Practice Address - Street 1:17200 SILVER PKWY
Practice Address - Street 2:
Practice Address - City:FENTON
Practice Address - State:MI
Practice Address - Zip Code:48430-3423
Practice Address - Country:US
Practice Address - Phone:810-714-5361
Practice Address - Fax:810-714-9661
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