Vida Womens Health PLLC
Obstetrics & Gynecology in Roseville, MI. Organization (NPI-2).
NPI number1043027840
StatusActive
Last updated in NPPESMay 30, 2025
Details
- NPI
- 1043027840
- Entity type
- Organization (NPI-2)
- Legal business name
- Vida Womens Health PLLC
- Organization subpart
- No
- Enumeration date
- Dec 16, 2024
- Certification date
- May 30, 2025
- Last updated
- May 30, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | – | – | Yes |
Practice location
19011 E 10 Mile RdRoseville, MI 48066-3901
Phone 313-938-6687
Mailing address
16555 E Jefferson AveGrosse Pointe Park, MI 48230-1428
Phone 313-938-6687
Authorized official
Aldo Rafael Nunez Hruska
Obgyn, Ceo/Cmo
3139386687
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