Southfield Lathrup Obstetrics and Gynecology PC

NPI #1033268263 in Livonia, Michigan

Provider Information

NPI Number: 1033268263
Entity Type: Organization
Organization Name: Southfield Lathrup Obstetrics and Gynecology PC
Primary Specialty: Obstetrics & Gynecology
Enumeration Date: Jan 9, 2007
Last Updated: Apr 12, 2012

Practice Location

Address: 20276 MIDDLEBELT RD
Address 2: SUITE 2
City: Livonia
State: Michigan
ZIP Code: 48152-2054
Phone: (248) 476-4900

Authorized Official

Name: DR. RONALD ZACK, M.D.
Title: PRESIDENT
Phone: (248) 476-4900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Obstetrics & Gynecology	207V00000X	Primary

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