Organization Name: | CRISTO REY COMMUNITY CENTER |
NPI Number: | 1407800931 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PETER H COOKE (MEDICAL DIRECTOR) |
Mailing Address: | 1717 N High St Lansing |
State: | MI US |
Postal Code: | 489064529 |
Phone Number: | 5173711700 |
Fax Number: | 5173714245 |
NPI Enumeration Date: | 05/20/2006 |
NPI Last Update Date: | 06/25/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | SL037010 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MI |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy 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. |