Professional Obgyn PC
NPI #1477602480 in Walled Lake, Michigan
Provider Information
- NPI Number
- 1477602480
- Entity Type
- Organization
- Organization Name
- Professional Obgyn PC
- Primary Specialty
- Obstetrics & Gynecology
- Enumeration Date
- Jan 9, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 55 N POND DR
- Address 2
- SUITE 2
- City
- Walled Lake
- State
- Michigan
- ZIP Code
- 48390-3080
- Phone
- (248) 624-3366
Authorized Official
- Name
- DR. ROGER KUSHNER, D.O.
- Title
- PRESIDENT
- Phone
- (248) 476-4900
Specialties & Taxonomy Codes
| Specialty |
|---|
| Obstetrics & Gynecology |
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