Provider Demographics
NPI:1386725091
Name:MICHIGAN PERINATAL ASSOCIATES PC
Entity type:Organization
Organization Name:MICHIGAN PERINATAL ASSOCIATES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR,OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:MOSES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-481-1030
Mailing Address - Street 1:2142 MONROE ST STE 100
Mailing Address - Street 2:
Mailing Address - City:DEARBORN
Mailing Address - State:MI
Mailing Address - Zip Code:48124-3057
Mailing Address - Country:US
Mailing Address - Phone:313-481-1030
Mailing Address - Fax:313-481-1031
Practice Address - Street 1:2142 MONROE ST STE 100
Practice Address - Street 2:
Practice Address - City:DEARBORN
Practice Address - State:MI
Practice Address - Zip Code:48124-3057
Practice Address - Country:US
Practice Address - Phone:313-481-1030
Practice Address - Fax:313-481-1031
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-18
Last Update Date:2020-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal MedicineGroup - Single Specialty