Michigan Infertility Center PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

WS024907 Issued in MI

Legal business name

MICHIGAN INFERTILITY CENTER PC

Practice address

189 Townsend St
Ste 200
Birmingham, MI 48009-6008

Phone

(248) 647-5565

Fax

(248) 647-0685

NPI assigned

Apr 14, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Willis H Stephens Jr., MD

Title

Owner

Phone

(248) 647-5565

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1208131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236297600000",
    "number": "1962676783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "189 TOWNSEND ST",
            "address_2": "SUITE 200",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480096008",
            "telephone_number": "248-647-5565",
            "fax_number": "248-647-0685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "189 TOWNSEND ST",
            "address_2": "STE 200",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480096008",
            "telephone_number": "248-647-5565",
            "fax_number": "248-647-0685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN INFERTILITY CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-14",
        "last_updated": "2009-03-06",
        "status": "A",
        "authorized_official_last_name": "STEPHENS",
        "authorized_official_first_name": "WILLIS",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-647-5565",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "MI",
            "license": "WS024907",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1606384752",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Birmingham, MI
• Providers in Birmingham, MI by specialty
• Specialist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.