Organization · Type 2 NPI

Henry Ford Semi Medical Group

Obstetrics & Gynecology Physician · St. Clair Shores, MI

NPI number 1366515496 Active

Practice location

21000 E 12 Mile Rd, Suite 102
St. Clair Shores, MI 48081-1116

Call (586) 447-5100 Map

Fax (586) 447-5090

Mailing address

PO Box 670884
Detroit, MI 48267-0884

Specialties and licenses

TaxonomyCodeLicense
Obstetrics & Gynecology Physician Primary 207V00000XNone listed
Gynecology Physician 207VG0400XNone listed
Obstetrics Physician 207VX0000XNone listed

Obstetrics & Gynecology Physician: An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

42 other providers at this address

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About NPI 1366515496

Henry Ford Semi Medical Group's National Provider Identifier is 1366515496, issued on Nov 16, 2006. The primary taxonomy on file is Obstetrics & Gynecology Physician (207V00000X), and the practice location is in St. Clair Shores, MI. The record was last updated on Apr 28, 2026.