Healthy Women PLLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

5315011523 Issued in MI

Legal business name

HEALTHY WOMEN PLLC

Practice address

1109 W Long Lake Rd
Bloomfield Township, MI 48302-1967

Phone

(248) 594-0002

Fax

(248) 594-6236

NPI assigned

Apr 8, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Christine T. Wade, M.D.

Title

Medical Director

Phone

(248) 872-3261

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1302220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302220800000",
    "number": "1992095178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1109 W LONG LAKE RD",
            "city": "BLOOMFIELD TOWNSHIP",
            "state": "MI",
            "postal_code": "483021967",
            "telephone_number": "248-594-0002",
            "fax_number": "248-594-6236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1109 W LONG LAKE RD",
            "city": "BLOOMFIELD TOWNSHIP",
            "state": "MI",
            "postal_code": "483021967",
            "telephone_number": "248-594-0002",
            "fax_number": "248-594-6236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY WOMEN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-08",
        "last_updated": "2011-04-08",
        "status": "A",
        "authorized_official_last_name": "WADE",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "248-872-3261",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "MI",
            "license": "5315011523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Medical Specialty Clinic/Center in Bloomfield Township, MI
• Providers in Bloomfield Township, MI by specialty
• Medical Specialty Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2011; 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.