Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

St Clair Shores Obstetrics and Gynecology, PLC

Organization Obstetrics & Gynecology Physician · NPI 1710065354

St Clair Shores Obstetrics and Gynecology, PLC provides Obstetrics & Gynecology Physician services in Macomb, Michigan. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

46591 Romeo Plank Rd Ste 225
Macomb, MI 48044-5742
Phone: (586) 226-6155
Fax: (586) 226-6160
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X

Record details

NPI number1710065354
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Constantine Raphtis — Member · (586) 779-9400
NPI enumeratedNovember 1, 2006
Last updated in NPPESAugust 22, 2020
Mailing address19714 Ten Mile Road, St Clair Shores, MI 48080

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