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PROFESSIONAL OBGYN PC
NPI 1477602480
Obstetrics & Gynecology in Walled Lake, MI

Active since January 09, 2007
55 N POND DR, SUITE 2, WALLED LAKE, MI 48390(248) 624-3366(248) 624-0127 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Professional Obgyn Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROFESSIONAL OBGYN PC (NPI 1477602480) is a healthcare organization registered as an obstetrics & gynecology in Walled Lake, Michigan and active in the NPI registry since January 2007. The organization lists Roger Kushner, President, as its authorized official.

NPPES Registry Identity

NPI1477602480
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NamePROFESSIONAL OBGYN PC
Location Address55 N POND DR, SUITE 2Walled Lake, MI 48390-3080
Mailing Address20276 Middlebelt Rd, Suite 2Livonia, MI 48152-2054 · (248) 476-4900 · Fax (248) 476-5435
Phone(248) 624-3366
Fax(248) 624-0127
Organization SubpartNo
Authorized OfficialRoger KushnerPresident · (248) 476-4900
Enumeration DateJanuary 9, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1477602480 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Definition
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.
55 N POND DR, Walled Lake, MI 48390
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Other Identifiers 1

Other0H24970MI · Bcbs

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STEVEN Z HECHTMAN, DDS, PC
Clinic/Center (Dental)
55 N POND DR, SUITE 3
WALLED LAKE, MI 48390
Oakland County (248) 669-5220
SUSAN H. DEUTSCH PLLC
Social Worker (Clinical)
55 N POND DR, SUITE 6
WALLED LAKE, MI 48390
Oakland County (248) 669-1900
DR. STEVEN HECHTMAN D.D.S.
Dentist (General Practice)
55 N POND DR, STE 3
WALLED LAKE, MI 48390
Oakland County (248) 669-5220
MISS TANIA LYNN GARRANT MPT
Physical Therapist
55 N POND DR, SUITE 4
WALLED LAKE, MI 48390
Oakland County (248) 668-9355
DR. RONDA PRETZLAFF DIEGEL PH.D.
Psychologist (Clinical)
55 N POND DR, SUITE 6
WALLED LAKE, MI 48390
Oakland County (248) 730-0597
PHYSIOTHERAPY ASSOCIATES, INC.
Clinic/Center (Rehabilitation)
55 N POND DR, SUITE 4
WALLED LAKE, MI 48390
Oakland County (248) 668-9355

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Professional Obgyn PC's NPI number?

The NPI number for Professional Obgyn PC is 1477602480. It was assigned to this organization in the NPPES registry on January 9, 2007.

Where is Professional Obgyn PC located?

Professional Obgyn PC is located at 55 N Pond Dr Suite 2, Walled Lake, MI 48390. The listed phone number is (248) 624-3366.

What is Professional Obgyn PC's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

When was this NPI record last updated?

The NPPES record for Professional Obgyn PC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.