ENDOMETRIOSIS TREATMENT CENTER OF AMERICA - MICHIGAN PLLC – NPI #1720669880
Obstetrics & Gynecology
An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications.
ENDOMETRIOSIS TREATMENT CENTER OF AMERICA - MICHIGAN PLLC is a provider located in LAKE ORION, MI. NPPES has assigned the NPI number 1720669880 to ENDOMETRIOSIS TREATMENT CENTER OF AMERICA - MICHIGAN PLLC on April 19, 2021. It is a Type-2 NPI, indicating this NPI number is associated with an organization. According to the NPI Registry, there are 2 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207VX0201X from the Health Care Provider Taxonomy code set, which is classified as Obstetrics & Gynecology, specializing in Gynecologic Oncology Please note, simply having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.
The NPI profile was last updated on Mar 06, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ENDOMETRIOSIS TREATMENT CENTER OF AMERICA - MICHIGAN PLLC below.
NPI Profile for
ENDOMETRIOSIS TREATMENT CENTER OF AMERICA - MICHIGAN PLLC
(more than 5 years ago)
LAKE ORION, MI 48360-1437 Phone: (248) 693-1630 Fax: (248) 731-2156
2 Other location(s):
Birmingham, MI 48009-6201
Phone: (248) 693-1630
Fax: (248) 731-2156
Birmingham, MI 48009-1790
Phone: (947) 622-9126
Fax: (248) 693-3683
CEO
Phone: (248) 693-1630
Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 207VX0201X - Obstetrics & Gynecology / Gynecologic Oncology (Primary) |
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| 291U00000X - Clinical Medical Laboratory |
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| 207VG0400X - Obstetrics & Gynecology / Gynecology |
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| 207VF0040X - Obstetrics & Gynecology / Female Pelvic Medicine and Reconstructive Surgery |
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| 207V00000X - Obstetrics & Gynecology |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.