Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Endometriosis Treatment Center of America - Michigan PLLC

Organization Obstetrics & Gynecology Physician · NPI 1720669880

Endometriosis Treatment Center of America - Michigan PLLC is an Obstetrics & Gynecology Physician in Lake Orion, Michigan. Works from 3 locations. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
5
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1430 S Lapeer Rd
Lake Orion, MI 48360-1437
Phone: (248) 693-1630
Fax: (248) 731-2156
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 511 Pierce St, Birmingham, MI 48009-1790 — (947) 622-9126
  • 122 E Brown St, Birmingham, MI 48009-6201 — (248) 693-1630

Specialties & licences

Gynecologic Oncology Physician (primary) Taxonomy 207VX0201X
Obstetrics & Gynecology Physician Taxonomy 207V00000X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician Taxonomy 207VF0040X
Gynecology Physician Taxonomy 207VG0400X
Clinical Medical Laboratory Taxonomy 291U00000X

Record details

NPI number1720669880
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jonathan Zaidan — Ceo · (248) 693-1630
Other names Endometriosis Treatment Center Of America; Endometriosis Treatment Center Of America
NPI enumeratedApril 19, 2021
Last updated in NPPESMarch 6, 2025
Certification dateMarch 6, 2025
Mailing address1430 S Lapeer Rd, Lake Orion, MI 48360-1437

Other providers in Lake Orion