Provider Demographics
NPI:1689891970
Name:ASSOCIATES IN WOMENS HEALTH
Entity Type:Organization
Organization Name:ASSOCIATES IN WOMENS HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARIANN
Authorized Official - Middle Name:
Authorized Official - Last Name:REAUME
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-457-5983
Mailing Address - Street 1:1046 N MONROE STREET
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:MI
Mailing Address - Zip Code:48162
Mailing Address - Country:US
Mailing Address - Phone:734-457-9034
Mailing Address - Fax:734-457-4030
Practice Address - Street 1:1046 N MONROE STREET
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:MI
Practice Address - Zip Code:48162
Practice Address - Country:US
Practice Address - Phone:734-457-9034
Practice Address - Fax:734-457-4030
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-19
Last Update Date:2023-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4583009 10Medicaid
MI4587830 10Medicaid
MI160E810610OtherBLUE CROSS BLUE SHIELD
MIDD1368OtherRAILROAD MEDICARE
MI4734032 11Medicaid
MI160E810610OtherBLUE CARE NETWORK
MI4734032 11Medicaid
MI4583009 10Medicaid
MI4587830 10Medicaid
MIDD1368OtherRAILROAD MEDICARE