St Clair Shores Obstetrics and Gynecology, Plc

NPI #1710065354 in Macomb, Michigan

Provider Information

NPI Number: 1710065354
Entity Type: Organization
Organization Name: St Clair Shores Obstetrics and Gynecology, Plc
Primary Specialty: Obstetrics & Gynecology
Enumeration Date: Nov 1, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 46591 ROMEO PLANK RD
Address 2: SUITE 225
City: Macomb
State: Michigan
ZIP Code: 48044-5742
Phone: (586) 226-6155

Authorized Official

Name: DR. CONSTANTINE RAPHTIS, D.O
Title: MEMBER
Phone: (586) 779-9400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Obstetrics & Gynecology	207V00000X	Primary

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